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2-Year Old Program Interest Form

Date
Month
Day
Year

Registration Fee: $100 - 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 a program change)
8:15am - 10:15am
9:15am - 11:15am
10:30am - 12:30pm
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