Please Fill Out the Registration Form

Update As of September 2nd!

Please note that Elementary Monday and Tuesday slots are now full.

Engineering is also now full for middle school

Tuesdays are now full for Kindergarten.

Please fill out the form to be added to the waitlist for those days.

Thank you so much for your interest in joining The Dreamer family! Please take a moment to complete this enrollment form so we can get to know your family a little better! If you are interested in having more than one child in your family participating in our programs, please complete a separate application for each child.

Please enter YOUR information below

First Name *

Last Name *

Cell Phone *

Address *

Email *

City *

State *

Zip code *

2nd Parent Full Name

2nd Parent Cell Phone

Child's Full Name *

Child's Date of Birth *

Child's Gender *

Male

Female

Child's Allergies *

Notes about child *

Child's Shirt size *

child's grade level *

Child' academic strengths and frustrations? *

Briefly describe the ideal educational setting you would like to have for your child: *

Does your child have any prevalent behaviors that we should be aware of? *

In addition to those listed above, the following individuals may pickup my child:

Authorized Adult 1 Full Name

Authorized Adult 1 Phone

Authorized Adult 2 Full Name

Authorized Adult 2 Phone

Authorized Adult 3 Full Name

Authorized Adult 3 Phone

To keep our homeschool running smoothly, please agree to all of these policies:

I agree to pay the monthly tuition by the first class of each month, as well as the non-refundable registration fee to reserve my child’s place and pay for his/her school supplies.

I give permission for my child’s photograph(s) and/or videotaping(s) to be used for marketing materials offline and online, newsletters, and art projects. (may opt out of showing face)

I agree to abide by the Policies & Procedures Handbook which I will receive.

I agree to volunteer in the classroom for monday and tuesday classes, or opt-out

Parent Agreement *

I agree to all of the policies listed on this form.

Parent Signature

Clear

Date Signed