TAS Registration and Attendance

Are you a new or returning student? *

New Student
Returning Student

Name *

First

Last

Name *

First

Last

Date *

Email

Date of Birth *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

What TAS location are you attending? *

Bellevue Arts Museum
Gage Capitol Hill
South Park Community Center

What TAS location are you attending? *

Bellevue Arts Museum
Gage Capitol Hill
South Park Community Center

Do you receive free or reduced lunches at school?

Yes
No

I identify my race/ethnicity as: *

Please specify your race/ethnicity

Preferred gender pronoun *

Please specify your preferred gender pronoun

What is the primary language spoken in your home?

Please specify the primary language spoken in your home

Choose the one that most closely describes your houseold

Please describe the nature of your household

What sexual orientation do you identify with?

Please specify which sexual orientation you identify with

I expect good things to happen to me *

Completely True
Mostly True
Somewhat True
Not At All True

I feel excited about my future *

Completely True
Mostly True
Somewhat True
Not At All True

I trust my future will turn out well *

Completely True
Mostly True
Somewhat True
Not At All True

I have goals in my life *

Completely True
Mostly True
Somewhat True
Not At All True

When I set goals, I take action to reach them *

Completely True
Mostly True
Somewhat True
Not At All True

I make step-by-step plans to reach my goal *

Completely True
Mostly True
Somewhat True
Not At All True

Your Signature *

First

Last

Parent or Guardian Signature *

First

Last

TAS Registration and Attendance

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