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REGISTER FOR THE
HOLIDAY PROGRAM
Parents, please fill out the form below to register your child's spot in the program - looking forward to speaking with you soon!
What's your name?
What is your contact information?
What's your child's name?
How old is your child?
*
6
7
8
What is your child's perferred session date?
*
Mondays 10:00am -12:30pm
Saturdays 10:00am -12:30pm
What three words would you describe your child as?
Tell us about the learning goal you'd like your child to achieve by the end of our program.
What is your perferred option for a follow up interview?
*
Weekdays 9:00am - 5:00pm
Weekdays 5:00pm - 8:00pm
Weekends 10:00am - 4:00pm
Weekends 4:00pm - 7:00pm
Any additional comments
Submit
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