Assessment Registration Form Reserve a Complimentary Discovery Class 754 views Reserve a Complimentary Discovery Class Our manager will contact you within the next 24 hours. Parent / Guardian First Name* Parent / Guardian Email* Child’s Name Child's Age Group* Ages 5–7 — MindMotion Fondations™ Ages 8–10 — MindMotion Explorers™ Child's Date of Birth* [ MM / DD / YYYY ] Child’s Grade * Child`s Gender *indicate medical or other condition(s) requiring attention. (e.g. medical limitations on child’s activities, allergies, medications, etc. If None, state None) Would you like your child to attend a complimentary MindMotion Discovery Class™ before enrollment? Yes — please contact me to schedule a Discovery Class No — I would like to proceed with registration My child already attended a Discovery Class Select your preferred program* MindMotion Foundations™ • Ages 5–7 • Wednesday – 4:00–5:00 PM Saturday • 11:00 AM–12:00 PM. I would like to enroll in this group MindMotion Explorers™ • Ages 8 –10 • Thursday – 4:00–5:00 PM • Saturday – 12:30–1:30 PM • I would like to enroll in this group Select your preferred payment option* Option A — Monthly $399/month • Founding Family Tuition Available during the initial launch enrollment period. • I would like to pay monthly Option B — Two Installments 2 × $1,149 • I would like to pay in two installments Regular Tuition $449/month • I understand that the regular tuition applies after the Founding Family enrollment period Emergency Notification: Name & Phone Use Captcha. Simple mathematics 0 + 1 = High Tide Art Schoolhttps://www.facebook.com/HighTideArtSchool
