Summer 2021
If you are interested in attending our Summer Lab program (M-F 9:00 am - 12:00 pm) for children ages 2 - 5, please submit your information below. We will be in touch once registration opens (approx. 2/1).
* Required
Email address
*
Your email
Your Name:
*
Your answer
Phone Number:
Your answer
Child's Name(1):
*
Your answer
Date of Birth (1):
*
MM
/
DD
/
YYYY
Child's Name (2):
Your answer
Date of Birth (2):
MM
/
DD
/
YYYY
Child's Name (3):
Your answer
Date of Birth (3):
MM
/
DD
/
YYYY
Are you interested in our summer camp program or tutoring?
*
Camp
Tutoring
Both
Tutoring: Please specify the age, topic, and preferred times (anytime after 1:00 pm).
Your answer
Which sessions would you like to reserve?
Week 1: June 28 - July 2
Week 2: July 5 - July 9
Week 3: July 12 - July 16
Week 4: July 19 - July 23
Week 5: July 26 - July 30
Week 6: August 2 - August 6
Week 7: August 9 - August 13
Week 8: August 16 - August 20
Week 9: August 23 - August 27
Week 10: August 30 - September 3
Select your child's program:
Preschool Lab:
How did you hear about Playful Learning?
*
Your answer
Has your child successfully separated from you?
*
Your answer
Has your child previously attended any schools or early childhood programs? If so, which ones?
*
Your answer
Is your child toilet trained? Will they be before their first day?Please explain.
*
Your answer
Is there anything else you'd like us to know?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms