Veuillez sélectionner l'école qui vous intéresse: *

CENTRAL ELEMENTARY SCHOOL

PARK AVENUE SCHOOL

DATE DE DÉBUT *

COMMENCER LE 25 SEPTEMBRE 2023

MM

DD

YYYY

nom de l'enfant *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

Child's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Name

First Name

Last Name

Mother Employers Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother Cell Phone Number

(###)

###

####

Father's Name

First Name

Last Name

Father Employers Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Father Cell Phone Number

(###)

###

####

E1 Name *

First Name

Last Name

E1 Phone *

(###)

###

####

E2 Name

First Name

Last Name

E2 Phone

(###)

###

####

Name *

First Name

Last Name

Method of Payment *

Confirmed Programs for Parents

Applying for Programs for Parents

Cashapp

Money Order

Cash

*

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.