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Online Elective Summer Registration
Please fill out this form for Momentum's Summer Classes. Please fill out one form per child.
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Email
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Your email
Parent Name
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Your answer
Student(s) Name
*
Your answer
Parent Phone Number (Emergency Contact)
*
Your answer
Upcoming Grade
*
Your answer
Special Needs/IEP/504
Your answer
Do you have a computer or tablet with a camera to do online classes?
*
Yes
No
I consent to my child being photographed during workshop activities.
*
Yes
No
Spanish Class: T/TH 3:00-3:30
July 20th-July 31st: Places, Household Items, Questions, Animals
Ukulele-Please check your preferred days.
Monday
Tuesday
Wednesday
Thursday
Friday
I am interested in Ukulele
Monday
Tuesday
Wednesday
Thursday
Friday
I am interested in Ukulele
Art Classes- Tuesday's 4:00-5:00
July 7th-Still Life
July 14th-Watercolor
July 21st-The Importance of Light
July 28th-Sculpture
Are you interested in Tuition Assistance?
Yes
No
Maybe-Please tell me more
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Are you new to Momentum Tutoring?
If you are new to Momentum please take a moment, after submitting this form, to fill out the registration form on the Momentum Tutoring website. This will allow us to send invoices for summer.
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