Parent Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

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Child's Name *

First Name

Last Name

Choose Class *

Pick which class you are registering for. (only pick one)

3 Year Old Preschool Class: (MON/WED 9-11:30am)

Pre-K Class: 2 Days (YOU PICK/NO THURS 9-11:30am)

Pre-K Class: 3 days (MON/WED/FRI 9-11:30am)

Pre-K Class: 4 days (MON/TUES/WED/FRI 9-11:30am)