Cumberland Thrive Registration
For Spring Semester 2023 - Jan. 11 - May 10

Thrive at Cumberland seeks to help the children and youth of our community learn the things that they will need to be successful in life but are often missed at school or at home.
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Section 1:  Student Info
First Name *
Last Name *
Preferred Name Student Goes By (for Nametag) *
Age *
Grade *
School Attended *
Address (Street, City, State, Zip) *
Phone Number (if available) *
Please List Any Food Allergies *
Is there anything special we need to know about your student?
Please list names and cell phone numbers of anyone who has permission to pick up your student *
Are there scheduling conflicts that will keep your student from being here for significant chunks of time throughout the semester?
Section 2:  Parent/Guardian Info
First Name *
Last Name *
Cell Phone *
Email Address *
Address (Street, City, State, Zip) *
What is the best way to reach you? *
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