Thursday Art Club at Sprouts Academy
2019-2020 School Year

Note: REGISTRATION IS NOT FINAL UNTIL YOUR CHILD'S REGISTRATION FEE IS RECEIVED
What session are you registering your child for? *
Child's Name *
Your answer
Child's Birthday *
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Home Address *
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Parent 1 Name *
Your answer
Parent 1 Cell *
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Parent 2 Name *
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Parent 2 Cell *
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Best person to receive text messages & phone calls *
Best e-mail for school communication *
Your answer
Emergency Contact name (other than parents) *
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Emergency contact relationship to child *
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Emergency contact phone number *
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Allergies or Medical Conditions
Please ask teachers if you need a medical form for permission to administer medication
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Is it okay for Sprouts Academy to use your child's photograph for promotional purposes online and/or in printed format? *
Would you like your information to be accessible to other parents from Sprouts Academy for birthday invitations or scheduling playdates? *
I have reviewed the Policies and Procedures contract provided on the Parent Resources page of the school website and agree to accept and follow them. *
By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge: *
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