Register

    CHILD NAME *

    CHILD BIRTHDATE*

    Please indicate your choice of program.*

    Please indicate choice of Full days, Mornings or Afternoons.*


    Select the weeks attending Spring Break

    Select the weeks attending Summer Camp

    *3 day week


    Drop in

    PARENT/GUARDIAN NAME*

    EMAIL*

    PHONE*

    ADDRESS*

    EMERGENCY CONTACT NAME *

    EMERGENCY CONTACT PHONE NUMBER *


    IF DROP IN INDICATE DATES


    BEFORE/AFTER CARE REQUESTED - DATES AND TIME

    MEDICAL, ALLERGIES AND OTHER INFORMATION WE MAY NEED


    Waiver of Liability | Photography Waiver

    I HAVE READ AND AGREE WITH THE RELEASE & WAIVER OF LIABILITY*
    I ALSO AGREE TO THE PHOTOGRAPHY WAIVER RELEASE