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Contact Us

                                                                            Office Use Only:

                                                                           Date received ___________                                                                                                                    Registration Fee _________

                                                                            Check Number __________

 

 

      Name ______________________________ Nick Name ___________________________

          

      Date of Birth  _____________________________________________________________

      Parent 1 _________________________  Parent 2 ________________________________

 

      Street Address ___________________________________________________________

 

      City _______________________________ Zip Code  ____________________________

      Phone _____________________________ Cell phone ____________________________

      Email _____________________________  Work Phone ___________________________

 

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 

Please write down the letter of the program you are choosing for a 1st and 2nd choice.

 

 

  1st Choice __________________                              

 

  2nd Choice _________________                                            

 

 Please return this form with a NON-REFUNDABLE and NON-TRANSFERABLE

Registration fee of $75.00

 

 

* You will be informed as to what program your child has made it into by January.

*Your first tuition payment is due February 1st  for all students. 

 

*Both registration fee and first tuition payment are

NON-REFUNDABLE and NON-TRANSFERABLE.

*We offer a discount of 10% off the lesser tuition

if more that one child from the same family is enrolled.

 

  *We reserve the right to add, delete, change or combine any class for any reason.

 

 Parent Signature ____________________________________ Date_____________________