Enrollment Form — Somehow School

Easthampton, MA

Enrollment Form

Thanks for signing up for a Somehow School course!

To finalize your enrollment, please fill out the form below.

Course

Student full name

Student nickname or chosen name (optional)

Date of birth

Parent/guardian full name

Parent/guardian email address

Parent/guardian phone number

Parent/guardian full name (optional)

Parent/guardian email address (optional)

Parent/guardian phone number (optional)

Does your child have permission to leave Somehow School alone after class?
Yes
No
Sometimes, but I'll email you first

Please list the names and phone numbers of everyone who has permission to pick up your child from Somehow School after class.

Who should we contact in case of an emergency if we cannot reach a parent/guardian?

Does your child have any allergies?
Yes (no risk of anaphylaxis)
Yes (risk of anaphylaxis)
No

If you answered “yes” above, please list your child’s allergies and what steps to take in the event of a reaction.

Does your child have any medical conditions we should know about?

Does your child have any specific learning needs you'd like us to be aware of?

Is there anything else you want us to know?