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Calendar
Summer
Classes
Birthdays
Policies
Home
Calendar
Summer
Classes
Birthdays
Policies
Registration
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Step
1
of 3
How many?
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1 Child
2 Children
3 Children
4 Children
Please let us know how many children you will be signing up today.
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Child Information
Child's Name
*
First
Last
Child's Age
*
Child's Grade
*
18-35 mo.
Age 3
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Class Choice
*
Need to know
Please let us know if your child has any physical limitations, allergies or special needs
Child 2 Information
Child 2 Name
*
First
Last
Child 2 Age
*
Child 2 Grade
*
18-35 mo.
Age 3
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Child 2 Class Choice
*
Child 2: Need to know
Please let us know if your child has any physical limitations, allergies or special needs
Child 3 Information
Child 3 Name
*
First
Last
Child 3 Age
*
Child 3 Grade
*
18-35 mo.
Age 3
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Child 3 Class Choice
*
Child 3: Need to know
Please let us know if your child has any physical limitations, allergies or special needs
Child 4 Information
Child 4 Name
*
First
Last
Child 4 Age
*
Child 4 Grade
*
18-35 mo.
Age 3
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Child 4 Class Choice
*
Child 4: Need to know
Please let us know if your child has any physical limitations, allergies or special needs
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Parent/Guardian Information
Parent/Guardian Name
*
First
Last
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
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Colorado
Connecticut
Delaware
District of Columbia
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
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New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Relationship
*
Mother
Father
Legal Guardian
Cell
*
Email
Employer
Optional Second Parent/Guardian Information
Second Parent/Guardian Name
First
Last
Second Parent/Guardian Relationship
Mother
Father
Legal Guardian
Second Parent/Guardian Cell
Second Parent/Guardian Email
Emergency Contact
Emergency Contact Name
*
First
Last
Emergency Contact Cell
*
Phone
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