Thank you for your interest in attending The Local Spark - Enrichment Lab!

A $30 Enrollment fee (per family) is due at the time the application is submitted.

Please complete one enrollment form for each child attending.

By completing this registration form, you acknowledge that you have read

and agree to our policies found below.

A signed copy of these policies are required for acceptance into our program.

Signed Forms can be emailed to tlsenrichmentlab@gmail.com

Follow us @TheLocalSparkEnrichmentLab on Facebook for updates!

Review our Policies

2025-2026
Enrollment Form

Student Name

First name

Last name

Birthday

Month

Day

Year

Age

Male/Female

Parent Name

Phone:

Multi-line address

Country/Region

Address

City

Zip / Postal code

Which Day of the week are you interested in?

Thursday

Friday

Tuesday and Wednesday are full at this time. Would you like to be added to the waitlist?

Tuesday - Yes

Wednesday - Yes

Does your child have any medical concerns or allergies we need to be made aware of? Please explain or write N/A.

Are there any academic/behavioral concerns that we should be aware of? Please describe below or write N/A if not applicable.

I understand that I am registering my student for the full-year enrichment program, and that I will be responsible to pay the $30 enrollment fee to reserve my child's spot immediately upon admittance into the program.

Yes

I will also review our policies for the 2025-2026 school year and submit the last page completed and signed to tlsenrichmentlab@gmail.com to complete my child's enrollment.

Yes

Enrollment Fee

Thank you for your interest in attending The Local Spark - Enrichment Lab! A $30 Enrollment fee (per family) is due at the time the application is submitted.

Signed Forms can be emailed to tlsenrichmentlab@gmail.com

Follow us @TheLocalSparkEnrichmentLab on Facebook for updates!

2025-2026 Enrollment Form

Student Name

Thank you for your interest in attending The Local Spark - Enrichment Lab!

A $30 Enrollment fee (per family) is due at the time the application is submitted.

2025-2026
Enrollment Form