AHCP 2019/2020 Registration Form
Before you register your child, be sure to follow the instructions here:
Child's Date of Birth (DOB)
Parent 1 (Full Name)
Parent 2 (Full Name)
Address (Line 1)
Address (Line 2)
5-Digit Zip Code
Primary E-Mail Address
Secondary E-mail Address
Cell Phone (Parent 1)
Cell Phone (Parent 2)
Has your child attended a program before?
If you answered YES to the question above, where and for how long did your child attend?
Choose the preferred class for your child.
2 year old Mon/Wed/Fri
2 year old Tue/Thu
3 year old Mon/Wed/Fri
3 year old Mon/Thu
4 year old Mon/Wed/Fri
4 year old Tue/Wed/Thu
4 year old Mon/Tue/Wed/Thu/Fri
Kinderbridge (contact director regarding days)
Camp Berenstain Bears 2019 - Week 1 (July 8 - 11)
Camp Berenstain Bears 2019 - Week 2 (July 15 - 18)
Camp Berenstain Bears 2019 - Week 3 (July 22 - 25)
How did you hear about us?
I agree to the terms, conditions, and rules listed in the 2019/2020 AHCP Handbook (type full name below).
2019/2020 Handbook can be found here:
A copy of your responses will be emailed to the address you provided.
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