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* Specifies a Required field in order to submit the form
Please register the children in tuition order from greatest to least
FAMILY INFORMATION:

* Parents first and last name (or 'in Charge'):

*  Home Phone Number:

 ( )
Mom Cell: ( )
Mom Work: ( )
Dad Cell: ( )
Dad Work: ( )
Emergency Contact: ( )
Emergency Contact Name:
*  Mailing Address:
*  City: *  State: * zip code:
*  Email Address:
TERM:
Term I: August 25 - October 30
Term II: November 3- January 16
Term III: January 19- March 27
Term IV: March 30- May 29
Term V: June 1- August 7
STUDENT INFORMATION
Take a look at the Fall 2008 Schedule  for class times before registering
to make sure the class fits your schedule.
  STUDENT 1: STUDENT 2: STUDENT 3:
*  Name:    
*  Sex:
*  Birthday:
Status: Present Student:
     

Former Student

*add $35.00		 Present Student:
     
Former Student

*add $35.00		 Present Student:
     
Former Student

*add $35.00
Class Information:
Age/grade:
1st Choice**:
Time:
Time:
Time:
2nd Choice**:
Time:
Time:
Time:
3rd Choice**:
Time:
Time:
Time:
 
** See you the first day of class!...We call ONLY if there is a difficulty supplying your first class choice!
ADDITIONAL INFORMATION:
 

I understand that submitting this registration is a REQUEST for classes. I realize by submitting this request, I am not guaranteed a class spot. Leaps & Bounds will notify me ONLY if there is a problem with my 1st choice.

I also understand that my credit card will be fully refunded if a class is fully booked.


TOTAL CLASSES REGISTERED FOR:                

TOTAL COST OF CLASSES TO BE CHARGED: $

*If you are a new student, a $35 registration/family administrative fee will be charged to your account. If you are a returning family that has not paid the registration/family administrative fee within the year, then a $35 charge will be added to your account after verification of your first registration date has been made.