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Support your child in achieving his potential.

If you live in South St. Petersburg and you believe your child can benefit from our M.A.S.T.R. Kids programs, please complete the application below. Someone from our team will reach out to you within 48 hours for consultation and to let you know what, if anything, is required to complete the process and any next steps. We have two primary application windows. For the after-school program, Applications typically open in June and remain open until capacity is reached. For the Summer Program, applications typically open in April and Close by May 31st.

At present each program can accommodate up to 100 students at one time.  Acceptance may be based on space availability overall and within specific classes.  We will maintain a waiting list once we reach capacity.

Familiarity and Continuity Enhance Learning

Research shows that students learn best in environments where they feel both comfortable and supported.  It takes time to build a supportive culture of learning where teachers and peers are trusted.  So, we want work with students on an ongoing basis and we give preference to students enrolled in one program and seeking to participate in the other.  For example, students enrolled in the After School Program are notified early about enrollment deadlines and changes in the Summer Program.

  • New Applicants please complete as many fields as possible. Students returning from summer session complete name of student and any data that has changed.

  • Date Format: MM slash DD slash YYYY
  • Age in Years, number only.
    Fall or Winter Session -> Current Grade, Summer Session -> Grade this Fall
  • Student's Percentage (%) Score on MAP Reading.
  • Individual Student Medical Information

  • Include Medication Name, Reason Taken and Dose/Frequency
  • Parent/Guardian Information

  • Parent's Employer
  • Date Format: MM slash DD slash YYYY
  • Second Parent/Guardian

  • Date Format: MM slash DD slash YYYY
  • Household Information

  • Enter number without comma (,) or dollar sign ($).
  • Household Medical Insurance Information

  • PARENT/GUARDIAN'S PERMISSION

    My child/children has/have my permission to participate in the summer M.A.S.T.R. kids program. I also grant permission for the use of photos of my child/children to be used by The Shirley Proctor Puller Foundation and/or its agents for public relations purposes on behalf of M.A.S.T.R. Kids and The Shirley Proctor Puller Foundation.
    I understand that in the remote learning classrooms and programs, now and in the future, my scholar will be recorded as a regular course of business. I grant to the Shirley Proctor Puller Foundation the following rights in the interest enabling creation and distribution of informational and artistic materials: 1. The right to record my child’s image, photograph, picture, likeness, and voice by any technology or means. 2. The right to copy, use, perform, display and distribute such recordings of me for any legitimate non-profit purpose, including but not limited to distribution by means of streaming or other technologies via the Internet, or distribution of audio or video files (e.g. podcasts) for download by the public. I expect that care will be taken to protect the personal information of my child in connection with any such material. 3. The right to combine such recordings of my child with other images, recordings, or printed matter in the production of motion pictures, television tape, sound recordings, still photography, CD-ROM or any other media. 4. The right to use my child’s image and voice in connection with the marketing of SPPF’s programs, events, or educational or artistic materials. I understand and agree that I will not receive compensation, now or in the future, in connection with SPPF’s exercise of the rights granted hereunder. I hereby assign to SPPF any and all copyright I may have in the recordings made of me or my child hereunder.
    The following person/persons is/are authorized to pick up my child from the M.A.S.T.R. Kids program. I understand that the only person/persons listed below will be allowed to pick up my child or children.
  • Provide First and Last Name, Phone Number and Relationship to Student.
    I the undersigned parent/guardian hereby authorize M.A.S.T.R. Kids staff to sign for and authorize admission and treatment of the above-named minor for any emergency medical procedure deemed necessary by the medical staff. I also authorize the physician and medical staff to perform any emergency procedure necessary, and realize that such treatment, not covered by M.A.S.T.R. Kids/TSPPF insurance will be at my/our expense. I have read and thoroughly understand all of the above.
    “ I certify, as the parent/ guardian of the child listed in this application, that all the information is true and all questions have been answered to the best of my ability.”
    “As the parent/guardian of the child listed in the above application, I acknowledge and agree that this application may be executed by electronic signature, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature. Without limitation, “electronic signature” shall include faxed versions of an original signature or electronically scanned and transmitted versions (e.g., via pdf) of an original signature.”
  • Date Format: MM slash DD slash YYYY
    Enter today's date
  • Application Fee Payment Options

    Due to COVID-19 Application fees are to be determined. Please apply and we will contact you.
  • This field is for validation purposes and should be left unchanged.