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Registration form for online class
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* Indicates required question
Name of the Child
*
Your answer
Age of the child
*
18 months-2.5 year old
2.5-3.5 year old
3.5 -4.5 year old
No of days you are interested in ( Please check all classes you are interested in )
*
5 Day Program
4 day Program
3 Day program
1 day Program
Option 5
Required
Program You are interested in ( Choose all that apply).
Preschool Program ( 5, days a week )
Preschool Program ( 4 days a week)
Preschool Program ( 3 days a week)
English ( Once a week)
Math ( Once a week)
Art & Craft (Once a week)
Fitness with Science ( Once a week)
Cooking, Storytelling, Motor Skills ( Once a week)
Circle time( 3, 2 or 1 day option)
Other:
Clear selection
Name of Parent
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Leave a comment or question
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