Credit Card Registration

First copy and fill out the following information and email to: Ina Ferrara, Center Director

Then use the chart at the bottom of the page to pay for your session fees.

(Make sure to include NEW FAMILY registration fee if necessary.)

Name (Parent’s):________________________  Caregiver_____________________

Address: ____________________________________________________________

City: ___________________________ State: ____  Zip Code: ________________

Home Phone: (____)______________ Work / Cell Phone: (____)________________

E-mail: ______________________________________________________________

Child #1: ____________________________  Birthday: _______________________

Child #2: ____________________________  Birthday: _______________________

Which Session? (Summer / Fall / Winter / Spring) : __________________________
First Class choice location/day/time___________________________________

Second Class choice location/day/time_________________________________

NEW FAMILIES: How did you hear about us? Thank you!_______________________


*If you have a different summer and winter address, please give both.

Tuition and Fees Amount Add to Cart
 Tuition $250
 Summer Session $200

 Sibling Fee
(reduced rate for siblings in same class, child 6 months or less in same class – no charge)
 Registration Fee
(New Families: $15.00 non-refundable)
 Total Payment
(Registration confirmed by mail, email or phone.)