BHSA Creativity School Application

A completed enrollment for the 2011-2012 Creativity School Program includes:
  • This application form, with signature
  • A completed Texas Department of Family and Protective Services enrollment form (click here)
  • The signature page from the BHSA Parent Handbook (click here)
  • All fees and deposits
  • Signed copies of all applicable agreements
Student Name:
Date of Birth:
Gender: Male     Female
Names of Parents/Guardians
Name Relationship
1.
2.
3.
Contact Email
Street Address
City
State TX
Zip Code
Contact Phone Numbers:
please use ###-###-####
1.
2.
3.
Schools or Programs Child has Attended:
School/Program Name Contact Person Phone Number
1.
2.
3.

Age Child was weaned from bottle or breast:
Age Child was using bathroom independently:
Classes:
Creativity School (pre-K)
Regular Day (8:30am - 1pm)  |   Extended Day (8:30am - 3pm)
Mon  |   Tue  |   Wed  |   Thu  |   Fri
Kindergarten (8:30am - 3pm everyday)

I understand that I will need to provide required clothing and shoes for classes in which they are mandatory. I understand that enrollment is complete only with required documents and applicable fees and tuitions.

All Creativity School students are required to have ballet shoes. Girls: pink / Boys: black

All Creativity School students attending less than three days a week may have their chosen class days adjusted to create a balanced attendance ratio.

I understand the above statements, and I hereby request registration in the 2011-2012 Creativity School Program and attest that all information given is true and correct.