Student *

First Name

Last Name

Parent/Guardian 1 *

First Name

Last Name

Parent/Guardian 1 Phone *

(###)

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Parent/Guardian 2

First Name

Last Name

Parent/Guardian 2 Phone

(###)

###

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Schedule Flexibility *

Please select all mornings that work with your schedule. We may need to move students around after everyone has registered and thank you for any flexibility you can offer!

Tuesdays

Wednesdays

Thursdays

Punctuality Contract *

I understand that my child must arrive at school no later than 8:00 a.m. in order to participate in The Breakfast Project's class that morning. This helps us ensure students' safety and allows the group to prepare and share a meal together before the start of the school day.

Missed Class Policy *

I understand that The Breakfast Project cannot guarantee make-up classes for any reason, including illness.