SWDS: Fall 2022 Session 2 (November/December) Registration Form
PAYMENT MUST BE RECEIVED WITHIN 24 HOURS OF SUBMITTING THIS FORM TO SECURE YOUR CHILD'S SPOT. PAYMENT INSTRUCTIONS ON THE LAST PAGE.
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Child's First and Last Name *
Class Choice (you may choose more than one) *
Required
Child's Birth date
Does your child have any special physical or emotional needs I should be aware of?
Registering Parent or Care Provider's Name *
Registering Parent or Care Provider's Phone Number *
Registering Parent or Care Provider's Email Address *
Emergency Contact Information (if above cannot be reached) Name and Phone Number *
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