Class Enrollment

Please complete and submit this form to enroll your child in a class at Building Connections. A $50 deposit is now required to reserve a spot for your child in the upcoming schedule. After submission, we will reach out to you with recommendations for a class and a time slot for your child. Note that to best help group your child with other children, we ask that you specify several time slots that may work for your schedule.

Child's Information

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Parent 1 Information

Parent 2 Information

Emergency Contact Information

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Child's Medical Information

Child's Behavioral Information

TRACK OUT CAMPS (FARM)

TEACHER WORKDAY FUNDAY

Winter Wonderland Experience

Skill Builders (2-3 yr olds) @ Farm Location

Farm Social Skill Group + Animal Assisted Therapy

Social Skill Group (Cary) - Time Slot Preference

Please select your top 3 choices for the time slot for your child. We will do our best to accommodate your selections.

Payment Details
A deposit is required upon registration to guarantee you a spot in the upcoming class schedule. This amount is put toward the total payment for the classes.

Total $ 50

PAYPAL Credit/Debit Card

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