STEAMS SR - Big Dream Academy

Student Registration (Part-Time)

Parent Information

First Name

Last Name

Email Address

Phone

Street Address *

City *

State/Province *

ZIP / Postal code *

Emergency Contact

Name

Phone

Relationship to the Student *

Immunization Records

Texas public school districts and accredited private schools require students to provide immunization documentation as part of the enrollment process, in accordance with Texas Department of State Health Services requirements. Please upload the student’s current immunization record or applicable exemption documentation below. *

Photo & Video Consent *Photo & Media Consent (Please indicate your preference regarding the use of your student's photo and media for school-related materials - e.g., website, newsletters, promotional content).Yes, I give permissionNo, I do not give permission