Parent's Name *

if student is under 18

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Child's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Select Class *

Spring PK-2nd grade | January 22 - April 22 | Mondays - 5:30 - 6:15 pm

Spring PK-2nd grade | January 23 - April 23 | Tuesdays - 5:30 - 6:15 pm

Spring 3rd-5th grade | January 22 - April 22 | Mondays - 6:30 - 7:15 pm

Spring 3rd-5th Grade | January 23 - April 23 | Tuesdays - 6:30 - 7:15 pm

Bluey Summer Camp | PK - 2nd Grade | July 8 - 12 | 9am - Noon

Harry Potter Summer Camp | 3rd - 5th Grade | July 8 - 12 | 1pm - 4pm

Barbie Summer Camp | PK - 2nd Grade | July 15 - 19 | 9am - Noon

Barbie & Friends Summer Camp | 3rd - 5th Grade | July 15 - 19 | 1pm - 4pm