We are now registering for the Winter 10 week program The session will begin the week of January 5

RETURNING FAMILY

If you are a family returning from a break, please use the code RFD in the coupon space below.

CURRENTLY ENROLLED FAMILY

If you are currently enrolled (have not taken a break between sessions) and registering for winter, please use the code NRF in the coupon space below.

PAYMENT INFORMATION:

CHECK- After we recieve your online form we will mail you a registration packet with a self-addressed envelope to send your check.

CREDIT CARDS We accept Mastercard and Visa credit cards. Please fill out all the registration information with your credit card information. We will mail you a registration packet.

This is a secure site and we will respect the privacy of your personal information.

REFUND POLICY- Refunds will be issued only in the case of an emergency.

*Your Name:
*Mailing Address:
*City:
*State/Province:
*Zip:
*Phone:
Other Phone:	Type (work, cell, etc):
*Email:	Contact Preference:

* Child's Name:	*Birthdate (mm/dd/yy):
Child's Name:	Birthdate (mm/dd/yy):
Child's Name:	Birthdate (mm/dd/yy):

Class 1^st Choice

*Location:		*Class Type:

*Class:
<Select location and class type first>

Class 2^nd Choice — Please select a second class in case your first choice is unavailable.

Location:		Class Type:

Class:
<Select location and class type first>

Waitlist OK?
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Comments:

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RETURNING FAMILY

CURRENTLY ENROLLED FAMILY

Class 1st Choice

Class 2nd Choice — Please select a second class in case your first choice is unavailable.

Class 1^st Choice

Class 2^nd Choice — Please select a second class in case your first choice is unavailable.