Intake form

Name *

Email address *

What age group does your child belong to?

What after-school activities are you interested in?

Please select at least one option.

Sports

Arts & Crafts

Music

Dance

Emotional Well-being

Career Exploration

Community Service

What are your child's interests?

Do you have any specific goals for your child’s development?

How did you hear about the bragging club?

What is your preferred method of communication?

Please select at least one option.

Email

Phone Call

SMS

What is your location?

Additional questions or comments

The Bragging Club