Registration Form
August 2023 - May 2024
Child's Name
*
First Name
Last Name
Name Called
Gender
*
Boy
Girl
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 1 Contact Information
*
First Name
Last Name
Email
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Child
*
Parent/Guardian 2 Contact Information
First Name
Last Name
Email
example@example.com
Cell Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Child
Weekday Program
Monday - Friday 9:00am- 1:00 PM
Select Kindergarten Program
*
Please Select
Kindergarten - 5 days - $350/Month
Select 4K Program
*
Please Select
4K - 5 days - $325/Month
4K - 4 days(M,T,W,Th) - $285/Month
4K - 3 days(T,W,Th) - $265/Month
Select 3K Program
*
Please Select
3K - 5 days - $345/Month
3K - 3 days (T,W,TH) - $275/Month
Select 2K Program
*
Please Select
2K - 5 days - $375/Month
2K - 3 days (T,W,TH) - $290/Month
Select MDO Program
*
Please Select
5 days - MDO I,II,III $440/Month; MDO IV,V $415/Month
4 days - MDO I, II, III $380/Month; MDO IV,V $340/Month
3 days - MDO I,II,III $345/Month; MDO IV,V $325/Month
2 days - MDO I,II,III $285/Month; MDO IV, V $265/Month
Select days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Acknowledgement
*
I understand that my registration is not confirmed until I have been contacted by a GV Weekday staff member and a $150 non-refundable registration fee has been paid. Payment options will be available upon speaking with a staff member.
Do you want to register another child?
*
Yes
No
Submit
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