General Information:
Parent/Guardian Name(s):
*
Home Phone:
*
Address:
*
Participant’s Name:
Date of Birth:
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Present Age:
Sex:
Female
Male
Entering Grade:
Does your child have any developmental or medical needs?:
Preschool 2010-2011 (check Class, Time and Day)
PROGRAMS FOR 2s
Class:
Twos
Age: Must be 2
Cost: $86/month
Day:
Friday
Time:
9:00-11:30 (1-day)
Click to edit this text...
Class:
Twos
Age: Must be 2
Cost: 180/month
Day:
Tuesday and Thursday
Time:
9:00-11:30 (2-days)
Click to edit this text...
Class:
Twos Plus
Age: 3 by 1/1/11
Cost: $170/month
Day:
Monday and Wednesday
Time:
9:00-11:30 (2-days)
Programs for 3s
Class:
Threes AM
Age: 3 by 9/1/10
Cost: $255/month
Day:
Monday, Wednesday and Thursday
Time:
9:00-11:30 (3-days)
Click to edit this text...
Class:
Threes AM
Age: 3 by 9/1/10
Cost: $170/month
Day:
Tuesday and Friday
Time:
9:00-11:30 (2-days)
Click to edit this text...
Class:
Threes PM
Age: 3 by 9/1/10
Cost: $170/month
Day:
Monday and Wednesday
Time:
12:15-2:45 (2-days)
Click to edit this text...
Class:
Threes Plus
Age: 4 by 1/1/11
Cost: $255/month
Day:
Monday, Tuesday and Thursday
Time:
12:15-2:45 (3-days)
Click to edit this text...
Class:
Learning Buddies
Age: 3 by 9/1/10
Cost: $90/month
Day:
Friday
Time:
9:00-11:45 (1-day)
Programs for 4s
Class:
PreK AM
Age: 4 by 9/1/10
Cost: $360/month
Day:
Monday through Thursday
Time:
8:45-11:45 (4-days)
Click to edit this text...
Class:
4s/5s PM (3-day)
Age: 4 by 9/1/10
Cost: $270/month
Day:
Monday, Tuesday, and Thursday
Time:
12:30-3:30 (3-days)
Click to edit this text...
Class:
4s/5s PM (4-day)
Age: 4 by 9/1/10
Cost: $360/month
Day:
Monday through Thursday
Time:
12:30-3:30 (4-days)
Click to edit this text...
Class:
Learning Buddies
Age: 3 by 9/1/10
Cost: $90/month
Day:
Friday
Time:
9:00-11:45 (1-day)
PROGRAMS FOR 5s
Class:
Begindergarten AM
Age: 5 by 1/1/11
Cost: $360/month
Day:
Monday through Thursday
Time:
8:45-11:45 (4-days)
Click to edit this text...
Class:
4s/5s PM (3-day)
Age: 4 by 9/1/10
Cost: $270/month
Day:
Monday, Tuesday, and Thursday
Time:
12:30-3:30 (3-days)
Click to edit this text...
Class:
4s/5s PM (4-day)
Age: 4 by 9/1/10
Cost: $360/month
Day:
Monday through Thursday
Time:
12:30-3:30 (4-days)
Click to edit this text...
Class:
Learning Buddies
Age: 3 by 9/1/10
Cost: $90/month
Day:
Friday
Time:
9:00-11:45 (1-day)
OTHER PROGRAMS
Class:
Social Groups
Age: K-3rd grade
Cost: $22/class
Day:
Tuesday
Time:
4:00-5:30
Click to edit this text...
Class:
My 6 Senses
Age: 3-5 yrs
Cost: $40/class
Day:
Friday
Time:
9:45-11:45 w/therapists
Submit
Should be Empty: