SPARK!
An Early Childhood Enrichment Program
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$200 Registration Fee
The registration fee is non-refundable and helps provide essential classroom supplies. Tuition is billed in full on the first day of each month. Tuition for our first month of school will be billed Sept. 1, 2025. Register before April 1st and receive 10% off first month tuition!
$
200.00
Quantity
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Child's Information
Child's Name
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Home Phone
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
Female
Male
Expected Start Date
-
Month
-
Day
Year
Date
Attendance Days
Mon - Fri ($610/mo)
M, W, F($450/mo)
T,TH ($360/mo)
One Day ($210/mo)
Drop-In ($62.50 /day)
Please provide any details you would like to share with us. What are your Childs interests? Is this their first time in care away from home? How can we help make this most successful for your child?
Parents/Guardian & Emergency Contact Information
Name
First Name
Last Name
Email
example@example.com
Relationship
Mother, Father, etc
Mobile Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Address
Same with the child
Different Address
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name
First Name
Last Name
Email
example@example.com
Relationship
Mother, Father, etc.
Mobile Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Address
Same with the child
Different Address
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact 1
First Name
Last Name
Relationship
Home Phone Number
Please enter a valid phone number.
Mobile Phone Number
Please enter a valid phone number.
Emergency Contact 2
First Name
Last Name
Relationship
Home Phone Number
Please enter a valid phone number.
Please note, there will be more detailed paperwork, calendar of events, and curriculum handed out prior to the start of the school year. Will you be joining our open house on March 30th (430-515pm)?
Mobile Phone Number
Please enter a valid phone number.
Do you want to add something? Marital status of parents, medical information, people who the child cannot be released, etc
Signature
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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