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Young BUL (Bold Unstoppable Leader) University
Peace family,
Thank you for taking the time to complete this form. Please fill it out in its entirety, and we will get back to you shortly. If you have any questions please forward them to Info@theecofoundation.org
Thanks!
The ECO Team
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Email
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Your email
What is your name?
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Your answer
What is your phone number?
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Your answer
What is your preferred method of contact?
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Call
Text
If anyone else is responsible for picking up your child, please list their name and number here.
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Your answer
What is your child's name? (Please complete one of these per child)
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Your answer
What is your child's date of birth?
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MM
/
DD
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YYYY
How old are they now? (please type their age in number format)
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Your answer
What grade are they entering?
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1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Do you currently homeschool your child?
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Yes
No
Are you a part of a homeschool network/group/cohort?
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Yes
No
If so, which one?
Your answer
Which of these programs do you think your child would benefit from the most? (Check all that apply)
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Bustlenomics (Business Development & Entrepreneurship)
Cameras Converting Communities (Film production, photography, visual story telling)
HeART & Sol
Keep Your Crown Up (Self Love, Communication, and Social Responsibility)
Movement & Mindfulness (Dance/Fitness & Meditation/Journaling)
Music Production
Self Defense
SOULcial Studies (History & Civic Engagement)
CPR Training/First Aid (Certification for children 13+)
Stop the Bleed Training
Required
We intend on having our programming take place from 11AM - 3PM two to four days a week. Would this time work for you?
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Yes
No
Are you interested in your child participating in our after school programming with similar programming from 3:30PM - 5:30PM?
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Yes
No
Would you be able to ensure your child comes at least once a week for 10 weeks?
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Yes
No
Are you able to provide lunch for your child?
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Yes
No
In a few words, why do you homeschool?
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Your answer
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