Preschool Enrichment Application

Day (s) -requested
Sessions: Mon. - Fri. mornings, 9:30 am - 12:00 pm

Family Registration Fee: $45.00 per year (non refundable)
Tuition Payment Plans Available: Please call the office.
Bonus: Full Payment by 12/30 receive 1 FREE day.
Child's Name
Child's Birth Date

MonthDayYear
Parent's Name
Street Address
City
Zip
Home Phone
Cell
E-mail
Please Choose
Please describe
*Sneakers Required
I hereby release LMW Enterprises LLC, dba Baby Power/Forever Kids, from all claims resulting from injury, not directly caused by the negligent actions of Baby Power, while participating in a Baby Power/Forever Kids program.
Guardian Name
Date

MonthDayYear
Should be Empty:

PSE FALL - WINTER 2012