Student Name
*
First Name
Last Name
Birthday
*
MM
DD
YYYY
Gender
Any severe food allergies? (We're not able to accommodate all food restrictions; we will, however, ensure that your child feels welcome at mealtime.)
Any religious food restrictions your child follows?
Which Young Philosophers cycle(s)?
*
We're working to make this seamless — but in the meantime, please note how many cycles you've chosen, and which ones. A link to PayPal will come at the end.
Interested in the Leonardo School we're opening in September?
Parent #1
*
First Name
Last Name
Email address
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Parent #2
First Name
Last Name
Email
Phone
(###)
###
####
Address (if different)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency contact
*
First Name
Last Name
Personal phone
*
(###)
###
####
Work phone
(###)
###
####
The participation agreement is required for registration.
*
Media release
Why, thanks! (Looking forward to seeing your child!)
In the meantime, please hold a spot for your child by going to the following page ($20/month):
schoolsforhumans.org/hold-a-spot