Laurelhurst Enrichments Enrollment Form
Thank you for participating in Laurelhurst Enrichments!

Class descriptions can be found at on the enrichments site at http://www.laurelhurstschoolpta.org/enrichments.

Fill out this form and click submit. You will receive a confirmation email, please MAKE SURE you get this email, and that you follow any directions in it to complete your registration. If you do not, you may not be enrolled in the class. **Please do not edit your response to sign up for another class(es). THIS WILL OVERRIDE YOUR FIRST SELECTION and you may lose your spot.

DO NOT PAY THE PTA! YOU WILL PAY THE PROVIDER DIRECTLY EITHER VIA A LINK IN YOUR CONFIRMATION EMAIL OR VIA CHECK TO BE GIVEN TO THEM AT PICK UP ON THE FIRST DAY OF CLASS. IF YOU HAVE A SCHOLARSHIP THE PTA WILL WORK OUT THE DETAILS WITH THE PROVIDER.


Child Name *
First and last name
Child's Teacher, Grade, and Classroom *
Parent Name *
First and last name
Parent Email *
PLEASE ENSURE THIS IS CORRECT, you will need to receive a confirmation email to complete your enrollment.
Parent Phone *
Other Emergency Contact(s)
Name(s) and phone number(s)
Enrichment Selection *
After this enrichment, my child will: *
Others who may pick up my child
List first and last name(s), in addition to Parent and Emergency Contacts above
Parent Volunteer Discount (Walkers)
YMCA Notification
Please check the box below if your child would normally be in YMCA aftercare
Photo Disclaimer
LHE would like to use photos of students in enrichment classes on our website
Any feedback on Laurelhurst Enrichments?
Have classes you'd like to see, experiences you'd like to share, or anything else?
Submit
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