BEFORE & AFTER SCHOOL ENROLLMENT FORM

TAMPA COMMUNITY CENTER

BEFORE & AFTERSCHOOL ENROLLMENT FORM
CHILDREN INFORMATION

Child(ren) name: name of child(ren)*

Date of birth: dob*
Parent's Name:Parent's name* .

Cell phone: cell phone* .
Parents' Email*
example@example.com
How did you hear about us?*

A person gave me a flyer & told me about the programFacebookGoogleI saw your flyer at a school / business / apartment complexFriends / FamilySchoolOther
STARTING DATE SELECTION*

PACKAGE SELECTION & PAYMENT

Registration Fee$100 for 1 child

$100.00 # of Children

Total

$0.00

Billing Deadline: Payment has to be made latest by the Friday prior to the start of the school week. Payments are due in full by close of business hours on the billing deadline of each school week.

Refund and Cancellation Policies: No refunds will be given if cancelled less than 7 days prior to billing deadline for the school session. Changes and cancellations must be made in writing 7 days before the billing deadline for the session to receive a refund (less non-refundable registration fee). Payments will not be refunded for changes and cancellations made after the billing deadline. All refunds are subject to a $50.00 processing fee.
Signature*

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TAMPA COMMUNITY CENTER