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PARENT INFORMATION
Enter Parent's First Name
(REQUIRED)
Enter Parent’s Last Name
(REQUIRED)
Enter Parent’s Email
(REQUIRED)
Enter Parent’s Phone
(REQUIRED)
Your Child’s Full Name
(REQUIRED)
Your Child’s Age
(REQUIRED)
Child’s skills, interests or talents
(Check All Boxes That Apply) Does Your Child Have the Following?
Access to a Computer
Their own Smartphone
A Student Bank Account
Internet Connection at Home
What Extracurricular Activities are they already enrolled in?
(REQUIRED)
Annual Household Income
0 - 50k
50k - 150k
150k - 300k
300k +
Prefer not to answer
Ethnicity
American Indian or Alaska Native.
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Prefer not to answer
How soon are you looking to get started?
As soon as possible
Within 1 to 4 weeks
2 to 4 months
5 months +
What is your most desired outcome from Starterschool?
My child learning new tech tools and skills
My child making money
My child making industry relationships
My child building their resume
Other, please specify
Why Do You Want To Enroll Your Child Into The Program?
Additional Notes (optional)
How did you hear about us?
Family/Friend
Facebook
Instagram
Advertisement
Online Presentation
Not sure
Other
Thank you for Enrolling Starter School!
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