Child's Name *

First Name

Last Name

Parent/Guardian *

First Name

Last Name

Phone *

(###)

###

####

Parent/Guardian *

Enter N/A if there is only one parent/guardian

First Name

Last Name

Phone *

(###)

###

####

Confirm Location *

Park Slope

Prospect Heights

I agree to pay monthly tuition *

Yes

No

All payments and deposits are final *

By accepting I understand that deposits and fees are NON-REFUNDABLE or NON-TRANSFERABLE

Accept

Do not accept