Enrollment Reservation Form
Please complete the form below and click submit.
Parent/Guardian Information
First Name
*
Last Name
*
Relationship
*
- Select One -
Mother
Father
Grandmother
Grandfather
Guardian
Joint Custody
Other
Address
*
Email
*
Phone
*
Child Information
First Name
*
Last Name
*
Date of Birth
*
Req. Start Date
*
Location
Bright Minds STEAM Studio
11343 N Sam Houston Pky E
Humble, TX
77396
832-409-4155
Secure Payment
Enrollment Reservation Form Fee
: Select a location above
Name On Card
Credit Card
Submit
Enrollment Reservation Form Successful
Your application has been received.
