Returning Registration

How many children are you registering today?*

1
2
3

Child 1 Name*

First Last

Age*

Grade Entering*

Second Child

Child 2 Name*

First Last

Age*

Grade Entering*

Third Child

Child 3 Name*

First Last

Age*

Grade Entering*

Parent/Guardian Information

Email*

Please note any submission changes from last years' registration form below.

Other person(s) authorized to pick up child(ren)

Name of Authorized Person

First Last

Cell Phone of Authorized Person

Relationship of Authorized Person

General Information

CONFIDENTIAL: Does your child have any allergies or other medical condition, require medication, or any special abilities or disabilities we should be aware of?*

Yes
No

Please describe them and indicate special precautions or care needed.

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of SPARKS to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment.*

I Accept

It is understood that if time and circumstances reasonably permit, SPARKS personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties.*

I Accept

I hereby give permission for my child to be photographed while participating in SPARKS activities and that these pictures may be used for marketing purposes.

I Accept

Payment Options

Tuition Plans - 1 Child

Plan A: One Full Tuition Payment - $1,500.00
Plan B: First Half Payment Upon Registration and Second Half Payment on January 1st - $750.00 Due Today

Tuition Plans - 2 Children

Plan A: One Full Tuition Payment - $3,000.00
Plan B: First Half Payment Upon Registration and Second Half Payment on January 1st - $1,500.00 Due Today

Tuition Plans - 3 Children

Plan A: One Full Tuition Payment - $4,500.00
Plan B: First Half Payment Upon Registration and Second Half Payment on January 1st - $2,250.00 Due Today

Payment Method*

Check
Credit Card

Please check one option.

Total

$0.00

Name*

Initials*

We look forward to a wonderful year of learning and growth!