Next Level Virtual Learning Facility Registration
====================================
DATES: Tue, Sep 8th - TBD
====================================
LOCATION:
NLSG - Next Level Sports Group
          9876 Chartwell Drive, Dallas, TX 75243

WHO:  3rd - 12th Grade
WEEKLY RATE:  $150
TIME:  7:50am - 4:30pm

EARLY DROP OFF / LATE PICK UP:  $50 / week
• Early Drop Off:  7:15am
• Late Pick Up: 5pm

ENROLLMENT:  30 Students

REQUIREMENTS:
• Completed Registration Form & Payment
• Bring a technology device (usually provided by school)
• Bring a headset with a microphone
• Bring a charging cord required for the technology devices
• Bring any other materials required by the student's school
• Bring a lunch, snacks, drinks, and any special instructions
  regarding food allergies
• MUST complete and bring a copy of (DOCUMENT) that is
  provided to the student's school that informs the school
  the student is attending the Next Level Virtual Learning
  Facility until September 3rd and that you (guardian) give
  the school and teacher permission to share any academic

NOTE:
• DO NOT reply to the email directly,
  only complete this form.
• For more information go to
   https://nlsportsgroup.com/nl-virtual-learning/
•
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Email *
I acknowledge and agree to the terms of the NLSG Participation Release and Waiver of Liability (SEE BELOW) *
Required
I acknowledge and agree to the terms of the NLSG Photo & Video Release (SEE BELOW) *
Required
Student First Name *
Student Last Name *
Student Gender *
Student's Date of Birth *
MM
/
DD
/
YYYY
School Attending (Ex: Moss Haven Elementary) *
Grade *
Teacher (Ex: Ms. Jones) *
Any Health Concerns (Ex: Asthma, Food Allergies, etc.) *
Will you need early drop off (as early as 7:15am) or late pick up (as late as 5pm)? *
Guardian 1 First Name *
Guardian 1 Last Name *
Guardian 1 Email *
Guardian 1 Mobile Number (no dashes) *
Guardian 2 First Name
Guardian 2 Last Name
Guardian 2 Email
Guardian 2 Mobile Number (no dashes)
Student's Home Address *
Emergency Contact's First & Last Name (must be 18 yrs or older) *
Emergency Contact's Relationship To Student *
Emergency Contact's Email
Emergency Contact's Mobile Number (no dashes)
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