JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Sprouts Academy Registration
2021-2022 School Year
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What are you registering your child for?
*
Choose
Early Learning (Wed, Thurs, Fri 9:15-1:10, cost $360)
3 day Pre-K (Wed, Thurs, Fri 9:15-1:10, cost $360)
4 Day Pre-K (Mon, Wed, Thurs, Fri 10:30-2, cost $420)
Preschool (Mon, Wed, Thurs, 10am-1pm, cost $275)
Child's Name
*
Your answer
Child's Birthday
*
MM
/
DD
/
YYYY
Home Address
*
Your answer
Parent 1 Name
*
Your answer
Parent 1 Cell
*
Your answer
Parent 2 Name
*
Your answer
Parent 2 Cell
*
Your answer
Best person to receive text messages & phone calls
*
Parent 1
Parent 2
Best e-mail for school communication
*
Your answer
Emergency Contact name (other than parents)
*
Your answer
Emergency contact relationship to child
*
Your answer
Emergency contact phone number
*
Your answer
Others authorized to drive my child home
Your answer
Allergies or Medical Conditions
Your answer
Is it okay for Sprouts Academy to use your child's photograph for promotional purposes online and/or in printed format?
Yes
No
Clear selection
Would you like your contact information to be accessible to other parents from Sprouts Academy for birthday invitations or scheduling playdates?
Yes
Yes, just email
Yes, just phone
No
Clear selection
I have reviewed the Policies and Procedures contract provided on the Parent Resources page of the school website and agree to accept and follow them.
*
Yes, I agree
No, I don't agree
By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge:
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
