Register & Enroll

Create an account or log in to complete your student's enrollment paperwork online.

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By creating an account you agree to be contacted about your student's enrollment. You'll review and sign all program paperwork in the next step.

1. Student & Parent Info
2. Medical & Health
3. Authorizations & Consents
4. Policies & Agreements
5. Review & Sign

Student & Parent Information

Registration/enrollment form: child and parent contact info, grade, and emergency contacts.

Student Full Name *

Date of Birth *

Grade *

Current School

Course Interested In *

Parent / Guardian 1

Full Name *

Relationship to Student *

Phone *

Email *

Home Address *

Parent / Guardian 2 (optional)

Full Name

Phone

Emergency Contact (other than parent/guardian)

Full Name *

Relationship *

Phone *

Medical & Health Information

Emergency medical authorization and immunization/health record.

Known Allergies (food, medication, environmental — write "None" if not applicable)

Current Medications

Doctor / Pediatrician Name

Doctor's Phone

Immunization / Health Record

Some programs require an up-to-date immunization record on file. You can upload a copy here or bring a paper copy on the first day.

Consent to Treat: In the event of a medical emergency and if I cannot be reached immediately, I authorize The Future Curriculum staff to seek emergency medical treatment for my child, including transport to a medical facility, at my expense.

I authorize emergency medical treatment as described above. *

Authorizations & Consents

Photo / Media Release: The Future Curriculum may take photos or videos of students during program activities for use in newsletters, our website, and social media.

Photo/Media Release *

Pickup Authorization

List adults (besides parents/guardians above) authorized to pick up your child. Photo ID is required at pickup for anyone not previously met by staff.

Authorized Adult 1 — Name

Relationship / Phone

Authorized Adult 2 — Name

Relationship / Phone

Walking / Transportation Consent

Some sites require students to be walked by an authorized on-site adult between the classroom and the after-school care facility (run by Footsteps) on site.

Transportation Consent

Special Needs / Accommodations (optional)

Please share anything our instructors should know to support your child

Policies & Agreements

Program Handbook Acknowledgment

I acknowledge I have received and reviewed The Future Curriculum's Program Handbook, including policies on discipline, late pickup fees, and attendance expectations. Repeated late pickups may incur a fee per our published fee schedule.

I have read and agree to the Program Handbook. *

Liability Waiver

In consideration of my child's participation in The Future Curriculum programs, I release and hold harmless The Future Curriculum, its instructors, staff, and affiliated facilities from any claims, damages, or injuries arising from participation, except in cases of gross negligence or willful misconduct.

I have read and agree to the Liability Waiver. *

Payment / Billing Agreement

Billing Frequency

Payment Method

For security, no card or bank details are collected on this form — we'll follow up with a secure payment link once your enrollment is reviewed.

I agree to the Payment/Billing terms above and understand tuition is due per the selected schedule. *

Review & Sign

By typing your name below, you are providing an electronic signature confirming everything entered in this enrollment packet is accurate and that you agree to all policies and waivers above.

Signer Full Legal Name *