To register online with a credit card click here Contact Information Child’s Name:
Child’s Age and birthdate:
Parent(s) Name:
Address:
Phone Number: Email:
Preferred Class: Village: Mon 5:45 ______ Wed 9:30 ____
Our Time: Mon 9:30 _____ Mon 6:45 ______ Wed 10:30 _____
Imagine That: Mon 10:30 _____ Wed 12:45 ________ Young Child: Mon 4:30 _______
Home Materials cost is due when registering. Balance is due at first class. If you would prefer quarterly payments, please ask. Please mail registration form and payment to: Leigh Levine 11765 78th Ave Allendale MI 49401 |
