18 Months to 6 YO Form Child's InformationChild's NameDate of BirthDoes your child have any allergies?YesNoIf yes, please list them:School Currently AttendingGrade in Fall 2025Parent / Guardian InformationMother / Guardian Full NamePhone NumberEmail AddressFather / Guardian Full NamePhone NumberEmail AddressEmergency Contact (Other than Parent/Guardian)Full NamePhoneRelationship to ChildSummer Camp Program (Ages 1-6)Per WeekPer Month5/3 days (Week)5 days week ($350 / w)3 days week ($250 / w)Do you want after care? (5dw)4.00 - 5.30 pm | $60 / weekyesnoDo you want after care? (3dw)4.00 - 5.30 pm | $50 / weekyesno5/3 days (Month)5 days week ($1200 / month)3 days week ($850 / month)Do you want after care? (5dw)4.00 - 5.30 pm | $230 / monthyesnoDo you want after care? (3dm)4.00 - 5.30 pm | $210 / monthyesnoTotalSend Message Your registration will not be complete until we receive your payment for the total amount of tuition. Thank you for sending your payment with Zelle from your banking institution using the email: [email protected]