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Spring 2021 Play School Enrollment Form
1
Child's Name
First Name
Last Name
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2
Parent Name
First Name
Last Name
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3
Birth Date
Month
Day
Year
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4
Mobile Number
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5
Parent Email
example@example.com
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6
Select Your Session
Check the box for the option that works for your family! Play School operates from 9:00am-12:00pm
One Day, Tuesdays $648
One Day, Wednesdays $648
Two Days, Tuesdays and Wednesdays $1,368
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7
Child's T-Shirt Size
Select Size
2T
3T
4T
5T
Select Size
Select Size
2T
3T
4T
5T
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8
Comments or Questions
Let us know!
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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.
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10
Play School Deposit
*
This field is required.
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Payment
1
Payment
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$20
Quantity:
1
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Great Product Name
$20
Quantity:
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Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
Play School Deposit
The deposit reserves your child's spot in Play School, and will be applied to tuition payment(s).
$
100.00
+
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Play School Deposit
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