Small Groups Payment (Final)2025

If you are REGISTERING for the first time please fill out the application for small groups or the 8 week rising kindergarten summer group making the $100 deposit before proceeding with this final payment form.

2025 Small Groups Application
**If you are currently in groups and are CONTINUING, please proceed with this form
2025 Payment Form
Child's Name*

First NameLast Name
DOB . My child prefers to be called .
Responsible Party*

First NameLast Name
Confirm Phone Number*
Please enter a valid phone number.
Confirm Email*
example@example.com
Confirm which Exceptional Me OPEN small group time / age you signed up for. *
Signature of responsible party*

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My Products*
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New student: 1sttime attending Balance after deposit
This balance reflects 20% off the regular price -$100 deposit and is a promotional price.

$395.00 Quantity



FREE T-Shirt
required (If your already purchased skip this)

$ Free Quantity



Continuing Student (reflects a 20% discount)
Standard pricing: $75 a week x 8 + $600

$495.00 Quantity



Total

$0.00
Should be Empty:

If you are REGISTERING for the first time please fill out the application for small groups or the 8 week rising kindergarten summer group making the $100 deposit before proceeding with this final payment form.