Harmony School Sign Up Form
Welcome! If you need any help with this form or have any questions, please call or text Jessica at 319-533-0708 or email info@harmonycr.org.

When we receive your form, we will reach out to get to know you and better understand your child's needs. We look forward to meeting you!
Email *
Student First Name *
Student Last Name *
Student School *
Student Date of Birth *
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Student Street Address (street, city, zip code) *
Legal Guardian Name *
Legal Guardian Phone Number
Legal Guardian Email Address
Legal Guardian Relationship to Child *
Is legal guardian's street address same as child's?
Clear selection
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