Re-Registration Form

Today's Date

Child's Name(Required)

First Last

Nickname

Child's Birthdate(Required)

Current Teacher / Class

Scholarship Application?(Required)

Yes

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Please choose the class you are registering for.

Three Day Class (turning 3 by 12/31)

3 Day (Tuesday, Wednesday, Thursday)

Four Day Class (turning 4 by 12/31)

4 Day (Monday-Thursday, 9:00-12:00)

Jr. Kindergarten (must be 4 by the first day of school)

5 Day (Monday-Thursday 9:00-2:00, Friday 9:00-12:00)

5 Day (Monday-Friday, 9:00-12:00; January-May, 9:00-2:00, Friday 9:00-12:00)

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