Willow Extension
Registration for the 2019 - 2020 school year for Willow Extension. Thank you for your interest in our new Kinder-1st grade class! Willow meets in Leavenworth for the school year, September - May, 9:00a - 3:00p (Closed for national holidays and a Winter Break).

Completing this form will submit your request for registration in the program. You may request any number of days, Tuesday and/or Thursday. There are 8 spots each day for registration, and your enrollment is based on availability, on a first come, first served basis. Tuition is a monthly rate based on the number of days per week of attendance, and you will be invoiced monthly.

Monthly Rate based on days/week of attendance:
$160 - 1 day/wk
$320 - 2 day/wk

Email address *
Willow Extension Registration *
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Student Name *
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Birthday *
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Parent 1 Name *
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Parent 1 Email *
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Parent 1 Phone *
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Parent 2 Name
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Parent 2 Email
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Parent 2 Phone
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Student Address *
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Special Health Concerns
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Emergency 1 Name *
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Emergency 1 Phone *
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Emergency 2 Name *
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Emergency 2 Phone *
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A copy of your responses will be emailed to the address you provided.
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