Parent's Name *

First Name

Last Name

Phone *

(###)

###

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Child's Name *

First Name

Last Name

Which Days Would You Like Register *

Check all that apply:

April 7 - 9am-11am

April 8, 10am-12pm

April 9, 9am-11am

April 10, 10am-12pm

April 14, 9am-11am

April 16, 9am-11am

April 18, 9am-11am

April 7-10 All Days

April 14-18 All Days

Payment *

$75/Day or $200/week - April 7-10, $185/week - April 14-18

Please register my child using the card on file

Please register my child pending in-person payment