Family Enrollment Form

Father's Name

Cell #

Mother's Name

Cell #

Guardian's Name

Cell #

Address

City, State, Zip

Home Phone

Child #1                                                                       DOB

Any Allergies and/or concerns?

School/Daycare                                                                                       Grade

Child #2                                                                       DOB

Any Allergies and/or concerns?

School/Daycare                                                                                       Grade

Child #3                                                                       DOB

Any Allergies and/or concerns?

School/Daycare                                                                                       Grade

Email

Referred by

I  fully understand these policies and agree to them as written. Failure to comply will result in disenrollment.

Enrollment will be confirmed once the $40 annual enrollment fee has been made. We accept checks and credit cards.

E-signature

Center Policies Annual Family Membership Fee There is an annual non-refundable family membership fee of $40 due each year. This fee allows for registration to all programs offered throughout the year. Class Fees A new Class Fee Agreement must be signed for each registered Session currently attending.  Family Discounts Family discounts of 25% will be offered for any sibling who is attending classes during the same session. Refunds Refunds will not be given once the session starts unless the class is already full or has been closed by the center. You may transfer to another class if availability is there. Make-Ups Make-up classes are offered for missed or center cancelled classes if offered more than once per week. For classes that are cancelled by the center, most of the time it will be added onto the end of the session. For classes that are missed by the students, it is the parents responsibility to schedule a make-up class. You must schedule a make-up in advance to ensure availability of a seat. Make-ups cannot be carried over into the next session. Illness Please do not bring your child if he/she is sick. We do not want to share these germs.

Website Designed at Homestead™ Create a Website