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Registration
First name (parent)
Last name (parent)
Email
Phone
Street Address
Street Address Line 2
City
Postal / Zip code
Child's Name
Child's Birthday
Which Days Will Your Child Join Instructonl Hours (9-12)
Monday
Tuesday
Wednesday
Thursday
Friday
Which Days Will Your Child Join Lunch/Play Extesion (12-2)?
Monday
Tuesday
Wednesday
Thursday
Friday
None
Are these days at all flexibe for your family?
Yes
No
Are you interested in either morning or afernoon extended car?
No
Yes, we would like extended care, but it's not a requirement
Yes, and we need it in order to join your preschool
Possibly
Please tell me about your extended care needs/wants. What days and times do you plan to drop off (8-9) or pick up (2-5)? Remember that you will be able to enroll by the half hour.
I understand that once I submit this registration and payment, the payment will be nonrefundable (unless cancelled by Wild Things Outdoor Learning)
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