Milestone C Programs Sign up

The below information is required to register for Milestone C programs (summer or after school). We will never share this information with any third party.

Sign Up Info

Parent Name

Parent Email

Student Name

Student Preferred Nickname

Student Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Emergency Cell Phone

This number will never be shared and will

(###)

###

####

Medical Needs

Additional Information

Milestone C Signup Page

Milestone C Programs Sign up