Saturday Pre School



Rye Reads Learning Center

30 Elm Place, Rye NY

9:00 am – 11:45 am 

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Email *
Child's First Name *
Child's Last Name *
Child's Age *
Child's Birthday *
Child School (if applicable)
Parent First Name *
Parent Last Name *
Parent Cell Phone *
Parent Address *
Parent Email *
Please indicate any allergies your child has.  If none, please indicate by responding NONE.   *
Emergency Contact Name *
Emergency Contact Cell *
Emergency Contact Relationship *

I agree to register my child for the Saturday PreK for a monthly fee of $250.00 per child.  Registration will continue automatically unless notified in writing at least 30 days in advance. Monthly fee will be pro-rated if a Saturday session is not offered due to holiday schedules.  No refunds or credits will be given. Registration will be deemed completed upon receipt of this form and payment in full.   


I give permission to allow my child to be photographed and to allow any pictures in which my child appears to be released for publication in newspapers, brochures, for fundraising or public relations.


I give permission to seek emergency medical treatment for my child in the event that I cannot be reached.


I give permission for the release my child to any of the following people if I am unable to pick him/her up providing I notify the Program Director. Please include names and phone numbers.

A copy of your responses will be emailed to the address you provided.
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