Achieve Summer Elementary Pre-registration
We can't wait to work with your elementary student during the 2021 Summer! Sign up here to be notified when registration becomes available for our programs.
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BASIC INFORMATION
1. Parent/Guardian Name (First & Last) *
2. Your phone number: *
3. Your email: *
4. Your Instagram username: *
5. What is the best way to get in touch with you? *
6. Student name(s): *
If you have multiple students who are interested in participating in Achieve Miami programs, please list all their names here.
7. Which Achieve Miami program are you most interested in hearing about? *
Select all that apply! You can also learn more about Achieve Miami's programs at www.achievemiami.org
Required
Are you interested in hearing about our? *
Required
9. Your student's grade level (during the 2021-2022 school year): *
If you have more than one student, please select the grade levels of each of your students.
Required
10. Has your student previously participated in any Achieve Miami programs? *
10a. If you indicated "Yes" for Question 9, please share which Achieve Miami programs your student(s) have participated in.
ANYTHING ELSE?
11. Is there anything else you'd like to share with us?
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