FUNdamental Minds 2024-2025 Homeschool Enrichment Academy Registration
Classes begin Monday, August 12, 2024. Open for students aged 5-13 completing academic activities equivalent to grades K-8.

Brandon Address: 1721 S. Kings Ave.
Zephyrhills Address: 35008 FL-54

Phone Number: (813) 409-3110
Email: director@fundamentalminds.com

Please complete one registration form for each child attending.
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Email *
What is your name?
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What is your phone number?
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What is your child's name?
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What age group will your child be in come August 12, 2024?
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What grade is your child completing for the 2024-2025 school year? (Note: Please register for the curriculum level they will be completing, as students may be working above/below their age-based grade)
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Which cohort are you registering for?
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Which location will your child attend?
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Which day(s) will your child attend?
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Required
Is your child fully potty trained, needing no bathroom support? 
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Does your child have any medical concerns or allergies we need to be made aware of? Please explain or write N/A.
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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.
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Does your child require additional 1-1 support from an adult/aide in academic/social 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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Do you qualify for any of the following discounts? (Proof of eligibility required)
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Required
I have read the Homeschool Enrichment Program Policies on the FUNdamental Minds website, and understand that a signed copy will be due at time of successful registration. (These policies can be found at www.fundamentalminds.com/homeschool)
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A copy of your responses will be emailed to the address you provided.
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