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_____________________