CenterStage Microschool Recommitment Form Family Name * This family is recommitting their child(ren) for the 2024-2025 School Year! Child(ren) Name(s) * Please type in the first and last name of the child(ren) that you are recommitting to the Microschool Program. Has Your Address Changed? * Yes No If Yes, please update your address below. Address 1 Address 2 City State/Province Zip/Postal Code Country Has your Parent/Guardian Information Changed? * If "Yes" then you will receive a new Parent/Guardian Form to fill out at Family Night. Yes No Has Your Student(s) Medical Information Changed? If "Yes" then you will receive a new medical information form at Family Night. Yes No Has Your Student(s) Emergency Contact Info Changed? If "Yes" then you will receive a new Emergency Contact form at Family Night. Yes No Parent/Guardian Signature * By typing your name and submitting this form, you are agreeing to register your child(ren) for the CenterStage Microschool Program and pay the $40 Registration Fee after the form is submitted. First Name Last Name Date * MM DD YYYY Thank you!