2021 - 2022 School Year Registration
Please fill out one form for each child you are requesting to register.
Filling out this form does not guarantee registration. Confirmation emails will be sent out to families based on space availability within each classroom.
Parent Name (First & Last) *
Parent Email *
Parent Phone Number *
Child's Name (First & Last) *
Child's Birthdate *
MM
/
DD
/
YYYY
Requested Days *
Type of day requested *
Do you require before or after care? (Note: Before & After Care options will only be made available if there are enough children interested in enrolling into each program) *
Do you have another child you need to request registration for? *
I understand that after my request for registration is approved I will have 72 hours to complete the necessary paperwork and pay the $150 non-refundable registration fee/ activities fee. *
Required
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