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Current and Upcoming Sessions
Interest / Registration Form

* Required fields
Name *
E-mail Address *
Child's Name *
Child's Nickname (if any)
Child's Birthdate *
Age on September (yrs/months) *
Sex *
Parent/Guardian #1 *
Home Phone *
Alternate Phone
Address *
Parent/Guardian #2
Home Phone
Alternate Phone
Address (if different)
Siblings with ages
Select Fall Programs Preschool Mon/Wed/Fri
Preschool Tues/Thurs
After School 12:00 - 3:00
After School 3:00 - 5:50
After School Hourly Program 12:00 - 5:50
Summer Camp
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