Academic Program
Additional Fees
Required Fees (Each school year)
Fees and Discounts
Agreement:
Summary of Monthly Tuition agreed:
Child Information
Child’s Gender:
Days of the Week in care :
Parent/Guardian One Information
Marital Status
authorized to pick up child
Parent/Guardian Two Information
Marital Status
authorized to pick up child
Sibling Information
Condition
PLEASE CHECK MARK EACH BOX
Information to help us get to know your family
Has your child a history of: (Check all that apply)
Authorization for Media Release
Activity
Activity