Registration

Student's Name *

First Name

Last Name

My Student Attends Aftercare *

Yes

No

Allergies or Intolerances *

If 'Yes', please answer the follow-up question.

Yes

No

Parent's Name *

First Name

Last Name

Parent's Phone *

(###)

###

####

Emergency Contact's Name *

First Name

Last Name

Emergency Contact's Phone *

(###)

###

####

Code of Conduct Agreement *

Creative Enrichment teachers are trained educators who will strive to promote your child’s language skills, thinking skills, creativity, knowledge, and self-esteem. We ask that you speak with your child to explain that we expect them to treat our teacher(s) and the other students in the class with kindness and respect. Please explain to your child that if they do not demonstrate the proper conduct for our classes, we will contact you to discuss their behavior and find a solution. We reserve the right to remove any child from class, without a refund, who attempts to hurt another child or consistently refuses to comply with our expected conduct code based on kindness and respect.

I have spoken with my child about Creative Enrichment, LLC.'s Code of Conduct

Photo Release Consent *

I consent to Creative Enrichment, LLC. taking photographs and/or videos of my child. I grant full rights to use the images resulting from the photography/video filming for use ONLY on the social media page, in cookbooks, or on the website.

Yes

No

I have read and understand the Creative Enrichment, LLC. Policies and Procedures. *

Please Read our Policies & Procedures

Yes