FUNdamental Minds 2023-2024 School Enrichment Program Registration- Brandon

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Please complete one form for each student you are registering.

Our School Enrichment Program includes a daily snack, daily homework assistance, 1 hour of academic tutoring, and weekly STEAM activities on Fridays.

Address: 1721 S. Kings Ave. Brandon, FL 33511

Phone Number: (813) 409-3110

Email *

What is your name? *

What is your phone number?
*

Which school does your child attend?
*

Which service will your student need? Morning Enrichment drop off begins at 6:30am and Afternoon Enrichment pickup lasts until 5:30pm.
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Afternoon Enrichment - $100/week, $80/week/sibling 1, $70/week/siblings 2+

What is your child's name?
*

What is your child's grade level for the 2023-2024 school year?
*

Is your child fully potty trained, needing no bathroom support?
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Yes

Has your child been diagnosed with an emotional, physical, mental, or educational disability? If so, please state the diagnosis and any applicable supports needed for your child. If not, please write N/A.
*

Does your child require additional 1 on 1 support from an adult/aide in school or other similar environments? Please describe below or write N/A if not applicable.
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Are there any academic/behavioral concerns that we should be aware of (for example: resistance to writing, failure to follow directions when given, physical acts of aggression toward self or others)? Please describe below or write N/A if not applicable.
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I understand that I must pay a $100 non-refundable registration fee, and a $50 registration fee for any siblings in order to reserve my student's spot for the 2023-2024 school year.
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Yes

I understand that Afternoon Enrichment services follow the Hillsborough County school calendar and will NOT be offered on student holidays and/or breaks (i.e. Teacher Planning days, National Holidays, Spring and Winter breaks).
*

Yes

A copy of your responses will be emailed to the address you provided.

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