LeschiES
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Application
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Management
Enrollment Form
PARENT INFORMATION
Parent 1 First Name
Parent 1 Last Name
Parent 1 Email
Parent 1 Phone Number
Parent 2 First Name
Parent 2 Last Name
Parent 2 Email
Parent 2 Phone Number
STUDENT INFORMATION
Student First Name
Student Last Name
Student Preferred Pronouns
He - Him
She - Her
They - Them
He - They
She - They
Ze - Zir
Ze - Hir
Xe - Xem
Any Pronouns
Student Birthdate
Student Grade
Kindergarten
1st
2nd
3rd
4th
5th
Student Allergies:
Student Medical Conditions:
Student Special Needs or Accommodations:
EMERGENCY CONTACT
First Name
Last Name
Phone Number
Relation to Student
AUTHORIZED PICK UP
First Name
Last Name
Phone Number
Relation to Student
STUDENT RELEASE
Released to After School Launch Program
Yes
No
Authorized to Walk Home Unattended
Yes
No
ENRICHMENT CLASS ENROLLMENT
Invoices will be Sent AFTER Class Minimum is Achieved.
Flexible Payment Options Will Be Available.
2025 WINTER ENRICHMENT PROGRAM
TUESDAYs
- No Selection -
Chess Club - $250
Filmmaking - $379
Seeds and Sprouts - $275
Stars on Stage - $275
WEDNESDAYs
- No Selection -
Child2Chef - $275
Dance Exploration - $280
Dungeon and Dragons - $500
Scratch - $285
THURSDAYs
- No Selection -
Little Coders - $285
Mad Science - $314
Under the Sea Crafts - $300
FRIDAYs
- No Selection -
Adventures in Stem - $248
Backyard PE - $185
Kids Capoeira - $275
Pokemon Club - $300
2025 SPRING ENRICHMENT PROGRAM
TUESDAYs
- No Selection -
Chess Club - $250
Comedy Improv - $275
Filmmaking - $379
Seeds and Sprouts - $275
WEDNESDAYs
- No Selection -
Basketball - $235
Child2Chef - $275
Dance Exploration - $280
Dungeon and Dragons - $500
Scratch - $285
THURSDAYs
- No Selection -
Little Coders - $285
Mad Science - $314
Craft Lab - Theme TBD - $300
FRIDAYs
- No Selection -
Adventures in Stem - $248
Backyard PE - $185
Kids Capoeira - $275
Pokemon Club - $300
Terms and Conditions
I acknowledge that I have read and agree to the
Terms and Conditions
.
Refunds and Cancellations
I acknowledge that I have read and agree to the
Refunds and Cancellations
.
Enrollment Policy:
Enrollment is not guaranteed. Class placement will be assigned in the order in which enrollments are received.
If a class reaches capacity, additional enrollments will be placed on a waitlist and notified of their status.
Have you submitted a scholarship application for this program?
Yes
No
SUBMIT ENROLLMENT FORM
SCHOLARSHIPS AVAILABLE
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1425 Broadway, Ste 487
Seattle, WA. 98122
info@EnrichmentManagement.com
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Enrichment Management LLC
