Level UP Social Skills Group
Registration Form
2024 Spring Session

Program information
Class Name: Social beginnings (introductory level) - 4-6 year olds
Session Day & Time: Saturdays, 10:00-11:30am
Session Dates: April 6th, 13th, 20th, 27th, May 4th, 11th, June 1st, 8th, 15th, 22nd (10 classes total)

Session Cost: $1350.00 for the session

Trial Session is a requirement for enrollment for children who haven’t attended programming at UP before to assess goodness of fit for a group learning environment

Trial session date: Saturday, March 23rd, 2024 from 10:00 - 10:45 am
Trial session cost: $75.00


Please fill out the following form completely so that have all the information we need to process your reimbursement request. 

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Email *
Primary parent/guardian full name
Primary parent/guardian phone number:

Child first name:


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Child last name:


 *

Child Date of Birth: 

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We will be attending the Trial session on March 23rd from 10:00-10:45 am (*required for children new to UP)
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We will be paying for the Level UP Social Skills group and the trial session in the following way: 
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Thank you for your registration interest!
Thank you for completing this form! Our group program manager will review your registration information and contact you to finalize your registration. Your registration won't be finalized until we receive the completed group policies and confirmed payment information, but registrations will be processed in the order of receipt of this form. 
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