Spring 2021 Play School Enrollment Form

1
Child's Name
First Name
Last Name
2
Parent Name
First Name
Last Name
3
Birth Date
Month
Day
Year
4
Mobile Number
5
Parent Email
example@example.com
6
Select Your SessionCheck the box for the option that works for your family! Play School operates from 9:00am-12:00pm
One Day, Tuesdays $648
7
Child's T-Shirt Size
Select Size
Select Size
2T
3T
4T
5T
8
Comments or QuestionsLet us know!
9
COVID-19 Policy Agreement* This field is required.Please read and check the box below to agree to our Play School COVID-19 Policy.
10
Play School Deposit* This field is required.
prevnext( X )
Payment
1
Payment
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Play School DepositThe deposit reserves your child's spot in Play School, and will be applied to tuition payment(s).
$100.00+
Back
Total cost $0.00
Play School Deposit
loading smart payment buttons...
The payment is ready! It will be completed once you submit the form.
Should be Empty: