Transition to HS Enrollment

Transition to High School Course: Enrollment Form

* Indicates required field

Parent's Name *

First

Last

Parent's Email *

Parent's Phone Number *

Student's Name *

First

Last

Student's Email *

Student's Phone Number *

High school that your student will be attending in the fall *

Please share a few notes about your student that will help Yea best support her/him/them (e.g. interests, activities, skills, challenges, learning differences). Yea will also be sending out a pre-course intake survey for students to fill out before the course to gather more information about their self-identified strengths and challenge areas. *

Preferred Payment Method: Yea accepts the following forms of payment: Cash, check, or Venmo (Venmo email is yeaflicker@gmail.com). Please indicate your preferred payment method and Yea will invoice you accordingly.Please note that your student's enrollment in the course is not confirmed until payment has been received. If you need to make payments in installments, please contact Yea to arrange a payment schedule. Thank you! *

Email Address for Venmo Invoicing: *

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Welcome

Transition to High School Course: Enrollment Form