1Application Form
2The Canopy School: Liability Waiver & Release
3Mommy & Me: Application Fee

1. Basic Student Information

Child’s Full Name
Date of Birth
Parent/Guardian 1 Name
Parent/Guardian 2 Name
Parent/Guardian 1 Address

2. Authorized Pick-Up Contacts

For your child’s safety, only the individuals listed below will be allowed to pick up your child from The Canopy School. Please notify us in writing of any changes.
Contact 1 Address
Contact 2 Address