BrainPOP and SMILE Registration Form
Please separate you children's names with a ',' comma.
* Required
Email address
*
Your email
Full Name(s) of Student(s)
*
Your answer
BrainPOP Grade Levels
*
Please select the grade levels of the children applying.
Nursery
Pre-K
Kinder
Grade 1
Grade2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
None
Required
BrainPOP Student Gender(s)
*
Male
Female
Required
SMILE Grade Levels
*
ONLY for students subscribing to the SMILE and BRAINPOP BUNDLE
Nursery
Pre-K
Kinder
Grade 1
Grade2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
None
Required
SMILE Student Gender(s)
*
Male
Female
Required
Enrolled in Victorious Homeschool?
*
If some of your children are not enrolled in Victorious Homeschool please indicate how many are enrolled.
Yes
No
Other:
Contact Number
*
Your answer
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