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  • School Year Registration Form

  • Please complete and return registration.

    Full payment is due upon registration (A $28 supply fee is due with registration.)

    Make checks payable to LEARN Strategies.

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  • Emergency contacts in the event that a parent cannot be reached:

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  • List below those people who may pick up your child:

  • Insurance Information:

  • Medical Information:

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  • I/We, as legal guardians(s), do hereby grant LEARN Strategies the right to authorize emergency medical treatment for my child in the event that I or my designated representative cannot be reached. I agree to hold harmless LEARN Strategies and it’s agents from liability arising out of an accident situation. North Carolina Good Samaritan Law will apply.

    Please use your mouse below to click and drag to sign your name.

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  • I/We give permission to LEARN Strategies to use, for publicity and marketing purposes, photographs of statements from, and work produced by my child in the summer Program. (Student’s names are excluded with his/her photo.)

    Please use your mouse below to click and drag to sign your name.

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  • Small group minimum of 3 students for $45 rate. 

    Groups with 2 students are $60 per hour. 

  • Cancellation and Refund


    Complete refund of payment minus a $50 processing fee will be given when cancellation of service is 30 days or more prior to the start of classes. No refund of payment with cancellation 30 days or later prior to the start of services.

  • Payment of Services

    Please use your mouse below to click and drag to sign your name.

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