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Celebrate New Learning.
If you’re looking to enroll your student in a 30K program, you’re in the right place.
Select a program
What program are you looking to enroll in?
Student's Full Name
Student's year in school
Prefer not to say
Free or Reduced Lunch
Our student Qualifies for free/reduced lunch
Our student has dietary restrictions
Dietary Restriction Notes:
Physical health concerns that create barriers to students success?
ex. homelessness, learning environment
Health Condition Notes:
WE ARE HERE TO HELP! Your response will not impact their ability to enroll.
Has social/emotional concerns that create barriers to students success
ex. anxiety, sadness, anger
MENTAL/EMOTIONAL HEALTH NOTES:
Your response will not impact their ability to enroll. WE ARE JUST TRYING TO HELP! :)
Our student has academic/behavioral concerns
ACADEMIC/BEHAVIORAL CONCERN NOTES:
HOW WILL YOUR STUDENT GET HOME FROM THE PROGRAM?
30,000 Feet transportation
STUDENT’S HOME ADDRESS
STUDENT’S BUS STOP LOCATION
STUDENT’S BUS DROPOFF TIME
Field Trip Permission
My student has permission to participate in 30,000 Feet-sponsored special events and field trips, including transporation to/from the location. I understand that I will be notified about any field trips or special events prior to the event.
30,000 Feet has permission to use my child’s likeness in photos/videos for the use of promoting its organization and programs.
PARENT/GUARDIAN’S PHONE NUMBER*
PARENT/GUARDIAN’S EMAIL ADDRESS
Additional Contact number
Sisters number, close friend number, relative
EMERGENCY CONTACT NAME(S)
Please list the name(s) of a parent/guardian or other responsible party we can contact in case of emergency
Username or Email Address
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