Enrollment form

To complete the enrollment process, please fill out this form.

Program

Student full name

Student nickname or chosen name if different from above (optional)

Student's pronouns (we'll also ask on the first day of class)

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 tell you first

Please list the names 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 learning needs you'd like us to be aware of?

Is there anything else you want us to know? (Optional)

I affirm that my child is up to date on all immunizations required for school attendance in Massachusetts. I agree to the terms and conditions.