Name of 2nd Parent or Guardian, or Authorized Emergency Contact Different from above. *
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Phone Number of 2nd Parent or Guardian or Authorized Emergency Contact *
Your answer
Email of 2nd Parent or Guardian *
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Please Choose one option *
Tuition is $150 per child per month. Please choose method of payment. Payment is due by the 5th of every month *
An email acknowledging registration will be sent along with the rules governing the program. Please write a note that you agree to follow the rules of the program. *