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Program Registration

DREAM BEYOND
AFTER-SCHOOL
ENRICHMENT PROGRAM

 


Unlock Your Student’s Potential!

Our holistic after-school program nurtures athletic, academic, and
personal growth, equipping students with the skills they need to excel.

College Exposure
Academic Tutoring
Performance Training
Nutrition & Wellness

Confidence. Skill. Future Readiness.

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Parent/Guardian Information

Student(s) Information

Family Race/Ethnicity (applies to all listed children unless noted): Ethnicity:
Family Race/Ethnicity (applies to all listed children unless noted): Race (select all that apply):

Emergency Contact (Other than Parent/Guardian)

Medical Information

Consent - Required for Participation

Please review and check each of the boxes below to indicate your understanding and consent. All must be selected to complete registration.

Optional Consent – Not Required for Participation

Please yes if you consent to the following:

I consent to photographs or video of my child being used in promotional or social media materials for BFIT Big Dreams Youth Inc.
Yes
No
I consent to receiving periodic program updates via text or email.
Yes
No

Permission & Waiver

By signing below, I grant permission for my child to participate in all after-school activities and authorize emergency medical care if necessary. I also acknowledge that BFIT Big Dreams Youth, Inc. is not responsible for lost or damaged personal belongings.

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Date
Month
Day
Year
Big Dreams After-School Experience
$105
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