Summer Enrichment Program Signup

A $25 deposit is required to reserve your child’s spot in the program! You will be directed there once this form is submitted.

Child Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

What are you hoping to gain from this program?

Does your child have an IEP or disability?

Does your child have any allergies?

if "Yes" to allergies please list them here

Are you interested in more information about our Learning Pod?

How did you hear about us?

Book Your Microschool Consultation