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Raising Brain, LLC Homeschool Co-op and Microschool in Northern Virginia Rappahannock, Culpeper, Fauquier, and Warren

Neuro-Affirming Microschool and Consulting Services

Northern Virginia & Washington DC

ABOUT
- ABOUT US
- OUR CAMPUS
MICROSCHOOL
EXTRACURRICULAR/CLUBS
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Extracurricular Program Registration

We're excited to offer a variety of engaging out-of-school programs designed to inspire curiosity, creativity, and connection. Our extracurricular classes and activities take place outside of traditional school hours and include options such as art workshops, nature exploration, STEM clubs, social groups, and family classes.

We will send an email confirming your registration and a payment link to complete your sign up.

Extracurricular Program Registration

Club(s) Interested In

Rooted Realms - Weekly Fridays 6-8pm

Future City Competition - Bi-Weekly Tuesdays 3:45pm-5:45pm

Synced Sibling Competition Circuit Club

Child's First Name*

Child's Last Name*

Child's Pronouns*

Birthday*

Month

Day

Year

Parent/Guardian First and Last Name*

Parent/Guardian Email*

Parent/Guardian Cell Number*

Parent/Guardian Alternate Phone Number

Address*

My child has allergies that requires them to carry epi-pen/antihistamines/inhaler. They will carry their medications with them to each session.

My child has a diagnosis that may require emergency intervention.

My child has a diagnosis and they may require accommodations.

If you checked any box above please list the diagnosis (if allergy, list specific allergen(s)) and interventions/accomodations required.

Please list emergency contacts and their phone numbers*

I have read and agree to the Parental Authorization and Liability form linked here.

I have read and agree to the Guidelines linked here.

I have read and submitted the photo release form linked here.

Signature*

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Date*

Month

Day

Year

Microschool Member

New Member

Where did you hear about us?*

Member

At Raising Brain, we are committed to providing an inclusive learning environment that welcomes individuals of every ability, race, gender, and background. Discrimination of any kind is not tolerated within our school community. We embrace diversity and strive to create a safe and supportive space where all students can thrive academically, socially, and emotionally.

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