In case of an emergency & parents cannot be reached, list person(s) who are authorized to pick up your child:
Please descibe any special health or medical problems (i.e. allergies, etc) your child may have. Please make sure that these issues are also documented on your child's health form.
Check Program & Day Preferences
Placement will be made based upson your child's birthdate, space availability, and your preferences.
This option is not available without choosing a program from above.
Please give any information that you feel would be helpful to your child's teacher, including siblings names and ages:
You should receive an invoice by email for the non refundable $100 registration fee within the next two business days. You can either pay this fee electronically with the link included in the invoice or mail/drop off the payment. Once this fee is paid, your registration is complete. If you have any questions, please contact the Director,
Debbi Mintz at 804-272-1704 or email@example.com
RF_________ BC_____ DB_____ PKT_______ CP_______________________________ T___________