1.0 Parental/Guardian Information

Parent First Name *

Parent Last Name *

Parent Adress

Parent City

Parent State

Parent Country

Parent Postal Code

Parent Email *

Parent Phone *

Does your Family Currently Own or Operate a Business?

Yes

Family Business Name

2.0 Children's Information (Enrolling Middle and High School Students)

Child First Name *

Child Last Name *

Date of Birth *

Child's Phone Number

Grade Level (Fall 2026)

Current School

3.0 Emergency Contact

Emergency Contact Name *

Emergency Phone Number *

Relationship to Child

4.0 Medical/Safety Information

Does Your Child Have any Allergies? *

Any Medical Conditions that we Should be Aware of? *

Authorized Pickup Person (If different than above)

Authorized Person's Phone Number

5.0 Agreement and Acknowledgement

By checking this box, I consent to receive non-marketing text messages from Zeus Consulting Services Corporation about it's Zeus Boss Kids Entrepreneur Program. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others from Zeus Consulting Services Corporation about Zeus Boss Kids at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

I understand that enrollment is limited to a select group of future leaders. My seat is not secured until tuition is paid in full.

6.0 Date Selection and Payment Information

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