Tailored Roots Learning Online Registration

Registration

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We're thrilled to welcome your family to Tailored Roots Learning Center!! *** SPECIAL NOTE *** Our system requests credit card information for all parents, including charter-funded families. Your card will be kept securely on file and will never be charged without your permission. Submitting this form enrolls your child, and a $25 registration fee per child is due at the time of enrollment.

* denotes required fields

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)

Charter School Name (if any)

Contact #1

First Name*

Last Name *

Relation*

How Can We Contact You?

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

First Name

Last Name

Relation

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level*

IMPORTANT: When selecting EACH class, make sure to filter by "Grade Group".

FOR PIANO: You can find the "Piano" filter under "Grade Group". Please note, each class is 30 mins and if you want a 1 hour slot, you must select 2 classes.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level*

IMPORTANT: When selecting EACH class, make sure to filter by "Grade Group".

FOR PIANO: You can find the "Piano" filter under "Grade Group". Please note, each class is 30 mins and if you want a 1 hour slot, you must select 2 classes.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level*

IMPORTANT: When selecting EACH class, make sure to filter by "Grade Group".

FOR PIANO: You can find the "Piano" filter under "Grade Group". Please note, each class is 30 mins and if you want a 1 hour slot, you must select 2 classes.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level*

IMPORTANT: When selecting EACH class, make sure to filter by "Grade Group".

FOR PIANO: You can find the "Piano" filter under "Grade Group". Please note, each class is 30 mins and if you want a 1 hour slot, you must select 2 classes.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level*

IMPORTANT: When selecting EACH class, make sure to filter by "Grade Group".

FOR PIANO: You can find the "Piano" filter under "Grade Group". Please note, each class is 30 mins and if you want a 1 hour slot, you must select 2 classes.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Payment Options*

Registration

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Required Policies

(Show-Hide Details)