Enrollment Form
Child's Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Gender
*
Male
Female
Child's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian
*
First Name
Last Name
Relationship to Child
Type a label
*
Preferred Phone Number
*
Please enter a valid phone number.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Home Email
Work Email
Work Number
*
Please enter a valid phone number.
Employer
blanks
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other Parent/Guardian
*
First Name
Last Name
Relationship to Child
blanks
*
Preferred Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Home Email
Work Email
Employer
blank
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Number
*
Please enter a valid phone number.
Preferred Class for 2024-2025 School Year Prices are for the Academic Year
*
Chosen Class
Comments for Classes
2's M/W - 9:15-11:30 ($1,900)
Wait List - 2's T/Th - 9:15-11:30 ($1,900)
Wait List - 3's M/T/W/Th - 9:00-11:30 ($3,900)
Wait List - 3's M/T/W/Th Extended Day - 9:00-2:30 ($8,550)
Wait List - 3's M/T/W 9:00-11:30 ($2,990)
Wait List - 3's M/T/W Extended Day - 9:00-2:30 ($6,400)
Wait List - 3's T/Th 9:30-12:00 ($2,000)
Wait List - 3's T/Th Extended Day - 9:30-2:30 ($3,900)
3's M/W/F - 9:30-12:00 ($2,990)
3's M/W Extended Day - 9:30-2:30 ($3,900)
Wait List - 4's M/T/W/Th/F - 9:00-12:00 ($5,825)
Wait List - 4's M/T/W/Th Extended Day - 9:00-2:30 ($8,550)
Wait List - 4's M/T/W/Th - 8:45 - 11:45 ($4,650)
Wait List - 4's M/T/W/Th Extended Day - ($8,950)
Wait List - 4s T/W/Th - ($3,600)
Wait List - 4's T/W/Th Extended Day -($6,700)
Signature
Submit
Submit
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