Online Elective Summer Registration
Please fill out this form for Momentum's Summer Classes. Please fill out one form per child.
Email *
Parent Name *
Student(s) Name *
Parent Phone Number (Emergency Contact) *
Upcoming Grade *
Special Needs/IEP/504
Do you have a computer or tablet with a camera to do online classes? *
I consent to my child being photographed during workshop activities. *
Spanish Class: T/TH 3:00-3:30
Ukulele-Please check your preferred days.
Monday
Tuesday
Wednesday
Thursday
Friday
I am interested in Ukulele
Art Classes- Tuesday's 4:00-5:00
Are you interested in Tuition Assistance?
Clear selection
Are you new to Momentum Tutoring?
If you are new to Momentum please take a moment, after submitting this form, to fill out the registration form on the Momentum Tutoring website. This will allow us to send invoices for summer.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Momentum Tutoring. Report Abuse