Mighty Minds Summer 2018 Registration
Mighty Minds Summer 2018 will serve children completing K through 6th grade! Cost for the program is $700 for five sessions, which is a qualified medical expense that should be fully reimbursable through PPO health insurance FSA or HSA. Please note that Mighty Minds groups are formed based on children's age and grade, and requesting to join the Mighty Minds program through this form is not a guarantee of admittance. Mighty Minds staff will review registrations on a rolling basis and reach out to you with confirmation or further information!
Child's full name *
Your answer
Child's gender *
Child's date of birth *
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Child's current grade (completing) *
Your answer
Child's current school *
Your answer
Parent(s)' name(s) *
Your answer
Best email address *
Your answer
Best phone number *
Your answer
Are there any particular areas of challenge, need, or growth for your child that you are hoping to have met by the Mighty Minds program? If so, please describe. *
Your answer
Scheduling Preferences
Please note that the more flexible you are able to be, the more likely it is that we are able to match your child to a session.
Please select which week(s) are available for your child. All sessions will run in the afternoon, 90 minutes per day, with specific time TBA pending group assignments as we match children to ensure group fit! *
Required
How did you hear about the Mighty Minds program?
Your answer
Thank you!
Please note that Mighty Minds groups are formed based on children's age and grade, and requesting to join the Mighty Minds program through this form is not a guarantee of admittance. Mighty Minds staff will review registrations on a rolling basis and reach out to you with confirmation or further information! Once we do reach out to you with confirmation, we'll provide you with a link to register for the session. A nonrefundable payment of $700 will be due at that time.
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