Individuals with Disabilities Enrollment Form
Please fill out the information below so we can learn more about you and the participating student! Your answers will help us come up with an individualized plan for the student. Staff from 4 Elements Studio will reach out to you once we receive this enrollment form. Thank you!

Please note - all information provided will be kept confidential.
First and Last Name (Guardian) *
First Name (Participating Student)
What class (or classes) are you interested in? *
Required
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