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Enrollment Form 2024-2025
Welcome to Blazing Star School! We're so excited that your child/children will be joining us!
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Email
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Your email
https://docs.google.com/document/d/1qFCoDJPjxjfF9R1vpQSvyPxRnovpKFfkLryGDVtdEZk/edit?usp=sharing
I have read and understand the attached form.
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Parent/guardian #1 phone number
*
Your answer
Home Address
*
Your answer
Parent/guardian #2 email
Your answer
Parent/guardian #2 phone number
Your answer
Additional emergency contact - Name and phone number
Your answer
Household Income used to calculate your sliding scale tuition (please include total for all parents/guardians who financially support the enrolled child/children)
<45,000
45,000-120,000
120,000 +
Child #1 - name
*
Your answer
Child #1 - gender/pronouns
*
Your answer
Child #1 - age
*
Your answer
Child #1 birthdate
*
MM
/
DD
/
YYYY
Child #1 - days/week child will attend. (If you aren't sure yet, you can use the "other" box to tell me more.)
*
Monday
Tuesday
Thursday
Friday
Other:
Required
Child #1 - any allergies or other important health info you want Blazing Star to know
*
Your answer
Child #1 - What are your child's interests or hobbies?
*
Your answer
Child #1 - What do you hope for your child to get out of their time at Blazing Star?
*
Your answer
Child #2 - name
Your answer
Child #2 - gender/pronouns
Your answer
Child #2 - age
Your answer
Child #2 birthdate
MM
/
DD
/
YYYY
Child #2 - days/week child will attend. (If you aren't sure yet, you can use the "other" box to tell me more.)
Monday
Tuesday
Thursday
Friday
Other:
Child #2 - any allergies or other important health info you want Blazing Star to know
Your answer
Child #2 - What are your child's interests or hobbies?
Your answer
Child #2 - What do you hope for your child to get out of their time at Blazing Star? What does your child hope to get out of their time at Blazing Star?
Your answer
Child #3 - name
Your answer
Child #3 - gender/pronouns
Your answer
Child #3 - age
Your answer
Child #3 - any allergies or other important health info you want Blazing Star to know
Your answer
Child #3 birthdate
MM
/
DD
/
YYYY
Child #3 - days/week child will attend. (If you aren't sure yet, you can use the "other" box to tell me more.)
Monday
Tuesday
Thursday
Friday
Other:
Child #3 - What are your child's interests or hobbies?
Your answer
Child #3 - What do you hope for your child to get out of their time at Blazing Star? What does your child hope to get out of their time at Blazing Star?
Your answer
Media consent
I consent to my child's photo being used in social media or marketing material.
I consent to my child's photo being used in social media or marketing material as long as their face is not shown.
I do not consent to my child's photo being used in social media or marketing material.
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Other info you want to share?
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