Application: Heroes_ Grades 1-5

APPLICATION:

HEROES

Teacher: Sue Bell

Grades: 1-5

Days: Mondays

Time: 3:15-4

8 Weeks

$360

Please fill out and submit the form. You will be contacted within 24 hours to confirm enrollment and complete payment

Please note we are limiting class size ensure a focused discussion.

Questions?: learning.perspectives.edu@gmail.com

Name of Parent or Guardian

First Name

Last Name

Phone

(###)

###

####

Name of Student

First Name

Last Name

Nickname?

Preferred Pronoun?

Student's Email Address (if applicable)

Questions or Comments?

Enrollment is on a first come first serve basis. Submission of this application does not guarantee space. We will respond within 24 hours to confirm your place and arrange payment via venmo

Please check that you have read

HEROES

PERSPECTIVES