Manitou Summer Registration 2020

Email *
Child First Name *
Child Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Last Grade Completed
1st Parent/Guardian First Name *
1st Parent/Guardian Last Name *
1st Parent/Guardian Email *
1st Parent/Guardian Complete Address *
2nd Parent/Guardian First Name
2nd Parent/Guardian Last Name
2nd Parent/Guardian Email
MONDAY -FRIDAY WEEKLY CLASSES, 1hr/day $150/wk. Materials box included.
MONDAY & WEDNESDAY BI-WEEKLY CLASSES! 1hr/day $60 per week (+Materials Fee if Applicable)
TUESDAY & THURSDAY BI-WEEKLY CLASSES! 1hr/day $60 per week (+Materials Fee if Applicable)
Check below if you would like to receive information regarding our private tutoring program.
How did you hear about our Summer Program? *
Required
Does your child have any allergies? Please specify (needed as we plan materials for the boxes).
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