Beyond The Books Registration Form

Child's Doctor or Clinic Name*
Doctor/Clinic Phone Number*
My child has the following special needs:*
THE FOLLOWING SPECIAL ACCOMMODATION(S) MAY BE REQUIRED TO MOST EFFECTIVELY MEET MY CHILD’S NEEDS WHILE AT THE CENTER: *
MY CHILD IS CURRENTLY ON MEDICATION(S) PRESCRIBED FOR LONG-TERM CONTINUOUSUS AND/OR HAS THE FOLLOWING PRE-EXISTING ILLNESS, ALLERGIES, OR HEALTH CONCERNS:*

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BTBA Registration Fee$100.00
This fee is to be paid in addition to the BTBA tuition. However, this is a one time fee unlike tuition.

Total $0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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