Registration Form-West Park Prep FY22/23

Fall Programs Start: 09/12/22

Spring Programs Start: 01/23/23

PRICE: FUNDED BY SCHOOL

Select The Student's School:

Select Student's Grade:

Enter Student's Last Name:

Enter Student's First Name:

Enter Student's Date Of Birth:

Student T-Shirt Size:

Student Sweat Pants Size:

Enter Guardian 1's Last Name:

Enter Guardian 1's First Name:

Enter Guardian 1's Email Address:

Enter Guardian 1's Contact Number:

Enter Guardian 2's Last Name:

Enter Guardian 2's First Name:

Enter Guardian 2's Email Address:

Enter Guardian 2's Contact Number:

Acknowledgement 1:

I acknowledge that Enrichment Masters is not a childcare provider and as such does not provide, store, or administer medications for any participant

Acknowledgement 2:

I acknowledge that Enrichment Masters does not provide snacks or lunches for participants and any food or beverages consumed by participants are provided by (whether purchased or prepared) the participant's guardian

Acknowledgement 3:

I acknowledge that Enrichment Masters does not provide medical staff/aides (e.g. nurses, mental health specialists) for student participants. As such, any participants who require such accommodations are encouraged to be registered into a program that is equipped with the necessary support that enables the participant to have a successful and enjoyable experience

Electronic Signature:

By checking this box, I acknowledge that I have read the terms listed above as well as the EM Terms of Agreement and agree to adhere to the Enrichment Masters Parental Terms Of Agreement (see link below)

Parental Terms Of Agreement