Please fill out the spring break registration form completely. Fields marked with * are required.
Child Name: *
Child Age: *
Child's DOB:
Mother/Guardian Name: *
Mother/Guardian Email: *
Mother/Guardian Phone Number: *
Father/Guardian Name:
Father/Guardian Email:
Father/Guardian Phone Number:
Spring Break Week Selection: (Check all that apply) * Week 1
Spring Break Program: (Select One) * Spring Break - Full ($160 /week)Spring Break - Daily ($39.50 /day)
Comments:
