2019 Spring Laker Playgroup Registration
DATES: Wednesdays, January 23rd through May 15th
(no class March 20 or 27 for spring break)

TIME: 9 - 11 a.m.

LOCATION: University Lake School Campus - Manegold Lower School Building

COST: $320 Additional Child: $75

SEND PAYMENT TO: University Lake School Admissions
4024 Nagawicka Road
Hartland, WI 53029
or you may leave a check in the Lower School office.

Email address *
Child's first name *
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Last name *
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Birthdate *
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Age *
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Address *
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City *
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State *
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Zip Code *
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Mother/Guardian
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Cell Phone
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Email
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Father/Guardian
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Cell Phone
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Email
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Caregiver's name (if different from parents)
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Digital Signature *
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Date *
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