

PRE-REGISTRATION FORM 2009-2010 (Please print) Child's name: __________________________DoB:________ Name of child's parent(s)/guardian: ____________________ _________________________________________________ Address: _________________________________________ City and zip code: __________________________________ Phone number: ____________________________________ E-mail address: ____________________________________ Class day: ____________________ Time: ______________ (Call first for availability) Group Name: _____________________ Date: _______________ Check #: _________ * $35 is non-refundable |