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Summer Engage @ Behold Application
Thank you for your interest in our summer Engage Program for ages 5-9.
Please fill out 1 unique form for each child.
This program is every Tue & Thur in June and July from 9:30-3pm (closed 7/4). Cost is: $425 per month (supplies included) To learn more details click
HERE
*Registration is NOT official until payment in full has been received. We will email you next steps to finalize payment and registration after we confirm available spaces.
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Email
*
Your email
Desired Month (s)
*
June
July
Both
Student First Name
*
Your answer
Student Last Name
*
Your answer
Age (on June 1, 2023)
*
Your answer
Birthdate
*
Your answer
Gender
*
Male
Female
Please share any health, allergy, social, emotional, or behavioral considerations/issues that are important for the Behold staff to know.
Your answer
For non behold students: how did you hear about Behold? Or who referred you?
Your answer
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