Harmony School Sign Up Form

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Welcome to Harmony School! If you need any help with this form or have any questions, please call or text Jessica at 319-533-0708 or email info@harmonycr.org.

When we receive your form, we will reach out to get to know you and better understand your child's needs. We look forward to meeting you!

Email *

Student First Name *

Student Last Name *

Student School *

Student Grade This Year *

Other (summer '21 students only)

Student Street Address (street, city, zip code) *

Legal Guardian Name *

Legal Guardian Phone Number

Legal Guardian Email Address

Legal Guardian Relationship to Child *

Parent/Permanent Guardian

Foster Parent

Other

Is legal guardian's street address same as child's?

Yes

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