Rumble in the Jungle 2011 Registration Form

Please submit one form per child enrolled. Thanks.



Student's Name                                                                        DOB                                          Age

Will you be paying in full for the summer?

Will you be paying in 3 monthly installments?                                       Automatic debit is required with this option.                                    
Will you need to make 13 weekly installments?                                                Automatic debit is required with this option.   

Toddler Program - 18 months - 2 years before Sept. 1st of 2010 school year

Filled - Enrollment is closed 

Preschool Program - 3 - 4 years  before Sept. 1st  of 2010 school year




Pre-K/Kindergarten  Program - 4 - 6 years before Sept. 1st  of 2010 school year



Short Session for School Agers returning to school early (ages 5-8yrs)





E-signature

E-mail

Referred by



                      CREDIT CARD AUTHORIZATION

Name on Card

Type of Card

Card Number

Expiration Date 

By submitting this form, I agree to have Wild About Learning charge my credit card for the following charges:





Paypal and checks are also accepted. Once you submit this form, go to our Payment Center link at the top of our website.

Class confirmation will not be made until all fees are paid.
Summer Camp Starts
June 6th, 2011 - Sept. 2nd, 2011
Morning Camp is FILLED
6 Seats Remaining in Afternoon Camp
Enrollment and Registration Fee  of $90
Registration Fee of $50 (currently enrolled)
T/TH Half Day 12:15-3:15 option 660 paid in full or 275 monthly or 70 weekly- SEATS AVAILABLE
Check here for year round continually enrollment (summer and school year)
T/TH Half Day 12:15-1:15 option 691 paid in full or 288 monthly or 73 weekly - SEATS AVAILABLE
T/TH Half Day 12:15-3:15 option 495 paid in full - SEATS AVAILABLE