Enrichment Program Application

Welcome! Please complete this form to enroll your child in the Princess & Company Enrichment Program.

Participant Information:

Child’s Name:

Grade Level (2025–2026):

Birthday

School Name:

Parent/Guardian Information:

Name:

Relationship to Participant:

Phone Number:

Emergency Contact (Other than Above):

Name:

Phone

Health Information:

Please list any known allergies, dietary restrictions, or physical/mental health conditions we should be aware of (including asthma, seizures, ADHD, etc.):

Please review and check each statement:

I understand that enrollment includes a Princess & Company T-shirt and access to scheduled sessions.

I understand that some sessions may require an additional activity fee.

I give permission / do not give permission for media release:

YES – I give permission to use photos/videos for marketing

NO – I do not give permission

I authorize Princess & Company to transport my child to/from program-related activities.

I agree to support my child’s full participation in the program.

I agree to RSVP as requested. I understand that failure to RSVP on time may result in my daughter missing the session or not receiving the incentives/gifts offered during that session.

Program Fee Payment – Required to Complete Enrollment:

The $200 annual program fee is due in full at the time of enrollment.

This includes:

A Princess & Company T-shirt
Access to all scheduled enrichment sessions
Some sessions may require an additional activity fee, which will be communicated in advance.

Enter the amount you wish to pay:

Signature & Date:

Signature of Parent / Guardian

Form Submission Date

Thanks for submitting!