2024 Early Childhood Program Registration
2024 Early Childhood Program Registration
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Email *
Child's First and Last Name *
Child's Date of Birth *
Child's Age *
Parent Name *
Parent Email *
Parent Address *
Parent Cell Phone *
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Relationship *
Please indicate any food allergies, medical conidtions or any other information we should be aware of. If NONE, please indicate.   *
Please indicate your start date (MONTH/DATE) if you are registering to begin a program prior to September 2024.   *
Program Selection *
Program Time *
How many days are you attending? *
Attendance Days *
Required
Add-Ons  *
I agree to the following monthly fees.  *
I agree to the following monthly fees.  *
I  agree to the following monthly fees for Lunch Bunch.  *
i agree to the following monthly fees for Early Drop Off.  *

Registration for the 2024 calendar year (January  – December) is confirmed upon receipt of this signed registration form and a one-month non-refundable deposit which will be credited to your first month’s fees. No pro-rate or refunds for missed days. Invoices will automatically be sent on the 15th of each month. Payment is due by the 30th of the month. A 30-day written cancellation notice is required.

 *
I consent to the following and give permission for -  *
To allow my child to be photographed and to allow any pictures in which my child appears to be released for publication in newspapers, brochures, for fundraising or public relations. *
I have read the Policy Statement on-line at  POLICY STATEMENT | Rye Book Club for Kids (ryereads.com) *
How did you hear about us? *
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