PDO Registration 2021-22 School Year

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Child's Name (First and Last) *

Child's Birthdate *

YYYY

Parent Name (First and Last) *

Address: Street/City/Zip *

Email *

Phone number: First Contact *

Phone number: 2nd Contact *

You may register for one or two days per week. Classes are offered FIVE DAYS PER WEEK Monday-Friday 8:45-11:45, 9:15-12:15, 9:30-12:30

I want to register for... choose one or two days *

1 day per week

2 days per week

Required

First Choice -- Day(s) and time(s) IF REGISTERING FOR TWO DAYS, LIST TWO FIRST CHOICES ex: Monday 8:45-11:45 and Tuesday 8:45-11:45 *

2nd Choice--Day(s) and time(s) IF REGISTERING FOR TWO DAYS, LIST TWO SECOND CHOICES *

3rd Choice-- Day(s) and time(s) IF REGISTERING FOR TWO DAYS, LIST TWO THIRD CHOICES *

You will receive an email as soon as your spot has been confirmed. Thank you in advance for your patience! Registration fees are non-refundable and will be due at that time: Registration fee/per class: $50 for 2 year olds, $40 for 3-5 year olds

https://secure.myvanco.com/YNE6/campaign/C-11SSW

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