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Registration: Spring & Summer 2023 Parent & Child

~ Sorry, no prorating or refunds, only credit for a future class. ~

2023 Spring & Summer Session Registration

1 Your Program

2 Attendees

3 Billing Information

Please note that a $175.00 non-refundable deposit will be retained if you withdraw from the class once the session begins.
Spring/Summer Session: 2022-2023
Which session would you like to register for?
- Spring 2023
- Summer 2023
Select Your Session(s)
Spring 2023
SPRING: Saturdays 9:00 am - 11:00 am
Dates:

April: 15, 22, 29

May: 13, 20, 27

June: 3, 10
- One Child
- Two Children
- N/A
Summer 2023
Summer: Mondays 9:00 am - 11:00 am
DATES:

June 26

July 3,10,17, 23 and 31
- One Child
- Two Children
- N/A
Summer: Wednesdays 9:00 am - 11:00 am
DATES:

June 21, 28

July 5, 12, 19, 26
- One Child
- Two Children
- N/A
Summer: Thursdays 9:00 am - 11:00 am
Dates:

June 22, 29

July 6, 13, 20, 27
- One Child
- Two Children
- N/A
Summer: Saturdays 9:00 am - 11:00 am
Dates:

June 24

July 3,10,17, 23 and 31
- One Child
- Two Children
- N/A

About the Parents/Guardians
Total
$0.00
How many parents/guardians will be accompanying the child?
Parent 1's Name*

First

Last
Parent 1's E-mail*
Parent 1's Phone*
Parent 1's Relationship to the Child*
Parent 2's Name*

First

Last
Parent 2's E-mail*
Parent 2's Phone*
Parent 2's Relationship to the Child*
Parent 3's Name*

First

Last
Parent 3's E-mail*
Parent 3's Phone*
Parent 3's Relationship to the Child*
Parent 4's Name*

First

Last
Parent 4's E-mail*
Parent 4's Phone*
Parent 4's Relationship to the Child*
About the Children
How many total children will you be enrolling?
Child 1's Name*

First

Last
Child 1's Nickname
Child 1's Date of Birth*
Child 1's Gender*
Child 2's Name*

First

Last
Child 2's Nickname
Child 2's Date of Birth*
Child 2's Gender*

Billing Information
Total
$0.00
Billing Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
***** PLEASE NOTE *****

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Expiration Date

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Cardholder Name

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Call 516.742.3434
225 Cambridge AVE, Garden City, NY 11530

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