Registration Form 2025 - 2026
Please fill out the form below to enroll your child in Pillars Academy Weekend School (PAWS). After we have received your response, you will receive an email from us with more information. Thank you for your interest in PAWS! We hope to see you soon.
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Student Last Name *
Student First Name *
Student Age
Student Date of Birth *
MM
/
DD
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YYYY
Does your child have any allergies? If yes, please state them below... *
Mother's Name *
Mother's Phone Number *
Mother's E-Mail *
Father's Name *
Father's Phone Number *
Father's E-Mail *
Street Address *
City and Zip Code *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact E-Mail *
Emergency Contact Relationship to Student *
Authorized person for student pick-up:
Language(s) spoken at home:
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What size PAWS shirt does your child need?
Do you want to be added to our WhatsApp group?
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Media Release Consent: *
Trips to Alicia Park Waiver - I agree to allow my child to attend park activities as may be scheduled during the year at Alicia Park: *
Would you like add your child to the Pizza Lunch Program for $45 a term?
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Please list any special needs we should be aware of:
What day would you like to enroll your child for? *
Parent Initial and Date Signed *
If you would like to pay your tuition online, please go to   https://www.paypal.com/paypalme/PayTuition?locale.x=en_US add PAWS 2025-2026 and the student's name in the memo
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