4.0Beyond the BellA 4.0 Experience
Family enrollment

Welcome your child to Beyond the Bell.

Please complete every section. Required fields are marked with an asterisk. Your information is kept confidential and used only for program operations.

01

Student information

Tell us about the wonderful child joining us.

02

Home address

03

Parent / Guardian information

04

Emergency contacts

At least one contact other than the parents/guardians above.

05

Authorized pick-up

Only people listed here will be permitted to pick up your child. Please include ID matching name.

06

Medical & allergy information

Help us keep your child healthy and safe.

07

Program selection

08

Consents & authorizations

Please read each statement carefully.

09

Signature

By submitting, you agree to be contacted by our team to finalize enrollment.