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Optional Add on Dance/Tumbling
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UNITED PRESCHOOL
Home
All About Us
Classes & Fees
Register
For Parents
Contact Us
Optional Add on Dance/Tumbling
United Preschool Center
Registration
2023 - 2024
Please read through the Terms and Conditions Here:
Terms and Conditions
Registration Form:
Primary Account Holder Information:
*
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Primary Account Holder Name
*
First
Last
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Primary Account Holder Email
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Primary Account Holder Phone Number
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Primary Account Holder Address
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City
State
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Country
How did you hear about us?
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I have read and agree to United Preschool Center's Terms and Conditions
*
Yes
Secondary Account Holder Information:
Secondary Account Holder Name
*
First
Last
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Secondary Account Holder Email
*
Secondary Account Holder Phone Number
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Secondary Account Holder Address
*
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City
State
Zip Code
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Emergency Contact Information:
(Please list an emergency contact who is not a parent of the child)
Emergency Contact Name
*
First
Last
Emergency Contact Phone Number
*
Emergency Contact Relation to Child
*
Child's Information:
Child's Name
*
First
Last
Child's Date of Birth
*
Child Is
*
Male
Female
Medical Conditions / Dietary Restrictions
*
Please put "none" if you are not aware of any medical conditions or dietary restrictions.
Select Program:
3/4 Year Old Class Time Options:
(First Year Preschoolers!)
Please Choose One:
*
3/4 Year Old Program (T/TH) PM 11:45 - 2:15 p.m.
4/5 Year Old Class Time Options:
(Second Year Preschoolers!)
Please Choose One:
*
4/5 Year Old Program (M/W/F) PM 11:45- 2:15 p.m.
Optional Add on Classes for 3/4 Year Olds:
Please Choose Optional Add on Classes:
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Yes, Add my student into the dance class that follows the academic class time on Tuesdays (3/4 Yr Olds). * This class is 1 hour
Yes, Add my student into the dance class that follows the academic class time on Thursdays (3/4 Yr Olds). * This class is 1 hour
Yes, Add my student into the tumbling class on Fridays from 1:00 - 2:00 p.m. (3/4 Yr Olds).
I am not interested in adding optional classes
Optional Add on Classes for 4/5 Year Olds:
Please Choose Optional Add On Classes:
*
Yes, Add my student into the dance class that follows the academic class time on Mondays (4/5 Yr Olds). * This class is 1 hour
Yes, Add my student into the dance class that follows the academic class time on Wednesdays (4/5 Yr Olds). * This class is 1 hour.
Yes, Add my student into the tumbling class that follows the academic class time on Fridays (4/5 Yr Olds). This class is 1 hour
I am not interested in adding optional classes.
Registration Fee Payment:
3/4 Year Old Program: $110.00 non-refundable registration fee.
4/5 Year Old Program: $120.00 non-refundable registration fee.
Payment Options:
* Venmo (see below)
* Cash, Card or Check at United Preschool Center.
Registrations left unpaid after 1 week will not be saved.
Signature:
By typing your name below, you agree that the above information is correct and agree to United Preschool Center's Terms and Conditions
*
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Optional Add on Dance/Tumbling