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To register, complete the online form or request an application.
Enrollment is confirmed once registration and payment are received.

🎭 HOME CONFIDENCE & ENRICHMENT ACADEMY

Summer Program Registration (Ages 8–11)

📍 Home Christian Church | June 1 – August 14

Enrollment Information

Thank you for your interest in the Home Confidence & Enrichment Academy!

This is a structured, full-day enrichment program focused on confidence, academics, creative expression, and fun in a small-group environment.

⚠️ Enrollment is limited to 25 students


Spots are secured upon completion of registration and payment.

👤 STUDENT INFORMATION

Birthday
Month
Day
Year
Current Grade (2025–2026):

👨‍👩‍👧 PARENT / GUARDIAN INFORMATION

🏥 MEDICAL & SAFETY INFORMATION

Does your child have any allergies?

If yes, please explain.

📅 ENROLLMENT SELECTION

Please select the weeks you are registering for:

Multi choice

💰 PAYMENT OPTION

Please select your preferred payment method:

💳 PAYMENT POLICY AGREEMENT

Please read and acknowledge:

  • A $40 non-refundable registration fee is required to reserve your child’s spot

  • Weekly tuition is $200 and must be paid in advance

  • First week’s tuition is due one week prior to start date

  • Future payments are due each Friday before the upcoming week

  • Spots are not guaranteed without payment

  • No refunds for missed days

📜 PROGRAM EXPECTATIONS

To maintain a positive environment:

  • Students are expected to participate respectfully

  • Disruptive behavior may result in dismissal from the program

  • Parents will be notified of any concerns

📸 PHOTO / VIDEO RELEASE

We may capture photos/videos for program highlights and promotional use.
Registration Fee
$0

✍️ SIGNATURE

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First Week Tuition Due May 25
Today's Date:
Month
Day
Year

🚀 FINAL STEP

👉 After submitting this form, you will receive payment instructions to complete enrollment.

⚠️ Enrollment is not confirmed until payment is received

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