Saturday Program Payment Form 2-4 y.o. 2021-2022
Minimum 4 kids are required to form a class.
In Good Health?
Authorization for Medical Treatment: in the event that parents/guardians named on this form cannot be reached, I authorize officials of the Blue Giraffe Education Center to consent on my behalf, to provide emergency treatment for my child
I understand that there are no refunds or replacements for missed classes
( X )
Saturday Morning Monthly (4 Days)
Saturday Morning 1/3 (12 school days)
Saturday Morning Semi-annual (18 school days)
Saturday Morning Annually (36 school days)
Credit Card Number
Should be Empty: