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3/4 Year Old Program Interest Form

Date
Month
Day
Year
Registration Fee
Registration Fee: $200.00 (First time students)
Re-registration Fee: $125.00 (Returning students)

I understand that this fee is non-refundable and will be paid after school tour.

Child's Date of Birth
Month
Day
Year

Emergency Contacts

If your parent can't be reached

Program Selection

Please select program time preferred: (A $40.00 administrative fee will be applied for any program change)
3 Year-Old Program: 2 Days - 9:00 am to 12:00 pm
3 Year-Old Program: 3 Days - 9:00 am to 12:00 pm
3 Year-Old Program: 4 Days - 9:00 am to 12:00 pm
3 Year-Old Program: 5 Days - 9:00 am to 12:00 pm
3 Year-Old Program: 3 Full Days - 9:00 am to 3:00 pm
3 Year-Old Program: 5 Full Days - 9:00 am to 3:00 pm
4 Year-Old Program: 3 Days - 8:30 am to 12:30 pm
4 Year-Old Program: 3 Full Days - 8:30 am to 3:30 pm
4 Year-Old Program: 5 Days - 8:30 am to 12:30 pm
4 Year-Old Program: 5 Full Days - 8:30 am to 3:30 pm
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