Returning Student/ Sibling Request Form

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2024-2025 School Year

Email *

Phone *

Parent's Name *

Child's Name *

Child's Date of Birth *

YYYY

PROGRAMS

Please note that both morning and afternoon programs are the same program. They include the academic work period, circle, lunch, and recess. Both programs are mixed age groups so please choose the program time that works best for you and your child. If you would like to request other options, please select Option C or/and F then also select Other and enter your preference.

Monthly Tuition Schedule
Option A or D - $415.00

Option B or E - $295.00

Option C or F - Varies

Program Interests - First Choice *

8:30am - 11:30am --> Option A: Mon., Wed., & Fri.

8:30am - 11:30am --> Option B: Tues. & Thurs.

8:30am - 11:30am --> Option C: Select This Box and the Box for "Other" then enter your preference.

12:00 pm - 3:00pm --> Option D: Mon., Wed., & Fri.

12:00 pm - 3:00pm --> Option E: Tues. & Thurs.

12:00 pm - 3:00pm --> Option F: Select This Box and the Box for "Other" then enter your preference.

Other:

Required

Program Interests - Second Choice *

8:30am - 11:30am --> Option A: Mon., Wed., & Fri.

8:30am - 11:30am --> Option B: Tues. & Thurs.

8:30am - 11:30am --> Option C: Select This Box and the Box for "Other" then enter your preference.

12:00 pm - 3:00pm --> Option D: Mon., Wed., & Fri.

12:00 pm - 3:00pm --> Option E: Tues. & Thurs.

12:00 pm - 3:00pm --> Option F: Select This Box and the Box for "Other" then enter your preference.

Other:

Required

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