Little Scholars Academy 2010-2011 School Year Registration Request Form

Please make sure that you have already enrolled in the center and paid and/or renewed your fees before registering for any classes. 

Student's Name                                                                        DOB                                     Age

First day attending

Will you be paying in full?                                   

Will you need to make installments?



















Any concerns and/or goals? 








E-signature

E-mail

Referred by









CLASSES START AUGUST 23, 2010
T/TH Half Day option - FULL - PUT ME ON THE WAIT LIST
T/TH Full Day option - FULL - PUT ME ON THE WAIT LIST
M/W/F Half Day option - FULL JOIN WAIT LIST
M/W/F Full Day option - FULL JOIN WAIT LIST
M-F Half Day option - FULL JOIN WAIT LIST NOW
M-F Full Day option - FULL JOIN WAIT LIST NOW
M-F Extended Day option - FULL JOIN WAIT LIST NOW
F Only Half Day option - 2 SEATS AVAILABLE NOW
F Only Full Day option - 2 SEATS AVAILABLE NOW
TH/F Full Day option - 2 SEATS AVAILABLE NOW
TH/F Half Day option - 2 SEATS AVAILABLE NOW