Parent Information

Parent Full Name *

Phone *

Email *

Student Information

Student Full Name *

Student Date of Birth *

Current School *

To help us provide the best possible experience, does your child require any specific accommodations, modifications, or support to successfully participate in a group setting? *

No

Yes

This information helps us determine whether our program is the right fit for your child. Voltereta welcomes all children. This information is used solely to ensure our staff can provide a safe, supportive environment and prepare any reasonable accommodations. It is not used to automatically disqualify applicants.

If yes, please tell us a little more.

Help us understand the schedule that works best for your family.

Weekly Atendance *

2 Days per Week

3 Days per Week

4 Days per Week

5 Days per Week

Are you also applying for another child? *

No

Yes

If yes, great! Our Admissions Team will help you complete your second child's application during the next step of the enrollment process.

Additional comments or inquiries?

I agree to receive emails and text messages from Voltereta regarding my application, enrollment process, and important program updates.