Date

MM

DD

YYYY

Name of Child 1: *

First Name

Last Name

Name of Child 2:

First Name

Last Name

Name of Child 3:

First Name

Last Name

Child #1 DOB

MM

DD

YYYY

Child #2 DOB

MM

DD

YYYY

Child #3 DOB

MM

DD

YYYY

Gender

Male

Female

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Mother's Name *

First Name

Last Name

Father's Name

First Name

Last Name

Little Learners ( 6-24 months)

Weekly Tuition Rates, charged monthly

2 days: Tuesday and Thursday ($240)

3 days: Mon, Wed, Fri ($335)

5 days: Monday - Friday ($510)

2 year old Class

Monthly Tuition Rates

Tuesday and Thursday ($215/month)

Monday, Wednesday, and Friday ($285/month)

Monday - Friday ($355/month)

3 year old Class

Monthly Tuition Rates

Mon, Wed, Fri ($265)

Monday - Friday ($335)

4 year old Class

Monthly Tuition Rates

Monday - Friday ($335)