Student Information:
Child’s Name
First Name
Last Name
Current Age + Classroom / Teachers
-
Age
Class / Teachers
Primary Contact
E-mail
Phone Number
Format: (000) 000-0000.
Anything you’d like to share about your child and will anyone else be picking up your child:
Please share information (Zelle preferred) for payment request - $325 for 13 weeks (9/18 - 12/11, no class 11/27):
Submit
Should be Empty: