BREVARD 2022-2023 IGNITE Registration Form
Please fill out one form PER STUDENT you are enrolling.
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Email *
Student First Name *
Student Last Name *
Student Email to be used for CANVAS...make sure you input it properly. We use this to add students to classes. DO NOT PUT ANYTHING OTHER THAN THE STUDENT EMAIL IN THIS BOX *
Parent Name *
Parent Email *
Student Age as of August 1, 2022 *
8:45am
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10:00am
11:15am
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1:00pm-2:30pm
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Email you'd like to receive an invoice. Please wait for an invoice to pay your balance. Deposit is $50 per class per student. This will be credited to your account balance. It is NOT a registration fee.
What should we know about your student?
Has your student ever been expelled, asked to leave a school/homeschool/church/group, had behavioral problems or any other scenario similar to those? Explain.
I will be paying my account balance...
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How would you like to pay your deposit? WE ARE NOT USING PAYPAL THIS YEAR.
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I have read the policies contained at the following link and have shared the behavior and academic standards with my child. I understand that all students and parents must comply.  (type your name) https://docs.google.com/document/d/1PZNMFEcMq6H-ViTwHdhXRj68sFSfIOXsLUIVP9XsK_U/edit?usp=sharing
A copy of your responses will be emailed to the address you provided.
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