2022-2023 Program Application

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We are excited for another year of great programs here at Better Wiser Stronger, Inc. Please complete this form in it's entirety to apply for our 2023 Spring program. Dates and times listed are tentative, however a complete schedule will be sent out prior sessions starting.

We have a limited number of spaces available in each segment, but will inform you of acceptance or placement on a waiting list as soon as possible.

If you are enrolling more than one participant, please complete multiple forms for each applicant. Reach out to info@betterwsinc.com if you have questions about the programs or issues with the application form.

Email *

Parent/Guardian Name: *

Parent Email Address *

Phone Number *

Mailing Address *

Preferred Method of Contact:

Phone Call

Text Message

Postal Mail

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Best time to contact:

Morning

Afternoon

Evening

Applicant (Child) Name: *

Applicant's (Child) Date of Birth: *

YYYY

Race/Ethnicity (select all that apply) *

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Refugee/Immigrant

Prefer not to respond

Other:

Required

Applicant's (Child) Residential Zip code: *

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