Dive into Place (Summer 2018) Enrollment Agreement
Congratulations! You are about to embark on the Dive into Place learning expedition with Place Network Online of the Teton Science Schools. Please check the agreement boxes below to finish the enrollment process.
Select the Place Network Online program you will complete. *
I am enrolling my child(ren) in the Place Network Online program offered by Teton Science Schools. Through this enrollment, I understand that: (please check all boxes to agree) *
Required
Student 1 Name *
Your answer
Student 1, Entering Grade: (Choose one) *
Name of Parent/Guardian *
Your answer
Relationship to Student(s) *
Your answer
Email of Parent/Guardian *
Your answer
Please complete only if you are enrolling more than 1 student:
Student 2 Name
Your answer
Student 2, Entering Grade: (Choose one)
If "Other" grade chosen, please explain.
Your answer
Please complete only if you are enrolling more than 2 students:
Student 3 Name
Your answer
Student 3, Entering Grade: (Choose one)
If "Other" grade chosen, please explain.
Your answer
Additional Students? Please list their names and grade or equivalent.
Your answer
If applicable:
Name of Learning Coach (if different from parent/guardian)
Your answer
Email of Learning Coach (if different from parent/guardian)
Your answer
Learning Coach's Relationship to Student(s) (Example: tutor, family friend, nanny, grandparent, sitter etc.)
Your answer
For all families:
From what region of the country or part of the world will this student be working? (please provide the city, state or city, country) *
Your answer
The more families involved with Dive into Place in your hometown, the more potential for learning and fun! With what other families will you be working?
Your answer
Would you like us to send information about Dive into Place (Summer 2018) to your friends? Please enter their names and email addresses.
Your answer
By entering my name here, I agree to the enrollment conditions listed above. *
Your answer
Select date *
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