• Registration Form- SUMMER

  • Summer Early Childhood Education Program

    for 3-5 years old
  • Birthday*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Authorized Pick Up Person (other than Mom and Dad)
          
          

  • Schedule

    Please check all that apply. Choose 2 days or all 4 days per week.
  • Week 1 - June 1 & 3 (June 2 & 4 is full)
  • Week 2 - June 8-11
  • Week 3 - June 15-18
  • Week 4 - June 22-25
  • Week 5 - June 29-July 2
  • Week 6 - July 6-9
  • Week 7 - July 13-16
  • Week 8 - July 20-23
  • Payment Type*
  • Should be Empty: