Summer Workshop Registration
Please fill out the following form for Momentum's summer programs.
Parent Phone Number (Emergency Contact)
I consent to my child being photographed during workshop activities.
Which workshop(s) will your child attend?
Which weeks would you like to enroll your child? (minimum of two required)
Week 1 (June 22 - June 25)
Week 2 (June 29 - July 2)
Week 3 (July 6 - July 9)
Week 4 (July 13 - July 16)
Week 5 (July 20 - July 23)
Week 6 (July 27 - July 30)
All 6 weeks
A Pre-assessment is required for all workshops. Please choose the date on which you are available for the free assessment. *we will contact you to arrange the time for that day*
June 6 (morning only)
June 13 (morning only)
Are you new to Momentum Tutoring?
If you are new to Momentum please take a moment, after submitting this form, to fill out the registration form on the Momentum Tutoring website. This will allow us to send invoices for summer.
Send me a copy of my responses.
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