Mighty Minds Registration Form

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Fill out this form to register your 4th or 5th grader in the Mighty Minds Social-Emotional Learning class. Once the form is submitted you will receive and email with more information and the Zoom link to access the class!

Parent Email *

Parent First Name *

Parent Last Name *

Student First Name *

Student Last Name *

Student Grade Level *

Grade not listed

What school does your child attend? *

Cabrillo Point Academy

Mission Vista Academy

Pacific Coast Academy

Does your student have an 504 Plan or an IEP? (Information to be used to provide accommodations if necessary) *

Yes

How did you hear about this program? *

HST

Case Manager

Student Study Team Reccomendation

Parent Newsletter/Flier

Facebook

Back to School Presentation

Other:

Submit

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