2022-2023 Luff Learning Registration
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Email *
Parent Name (Last, First) *
I have read and understand all policies in the Luff Handbook.  *
Parent Email *
Parent Cell Number *
Preferred Method of Contact *
Mailing Address *
Home Address (if different)
Student Name(s) - (Last, First; type a "/" between multiple children) *
Student Age(s) - (In order that their names are listed in previous question) *
Which classes are you looking to enroll your child(ren) in? *
Required
Emergency Contact #1 Name *
Emergency Contact #1 Home/Cell Phone *
Emergency Contact #1 Work Phone
Emergency Contact #2 Name *
Emergency Contact #2 Home/Cell Phone *
Emergency Contact #2 Work Phone
Does your child have a life-threatening health condition? If yes, please explain: *
Does your child need medication during the school day? If yes, please give details: *
Does your child have any other medical issues (such as  food/pet allergies) or special needs (such as neurodiversities) of which we should be aware? If yes, please explain: *
I understand that Luff Learning reserves the right to photograph its activities, that my child may be in some of those photographs, and that some of those photographs may be posted as promotional content. (Luff would never post a photo of a child that didn't paint them in their best light!) *
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