Preschool 2025-2026

Your Contact Information

First Name *

Last Name *

Email *

Phone

Address Line 1 *

Address Line 2

City *

State *

Zip *

Student First Name The maximum length for the field Student First Name is 500 characters.

Student Last Name The maximum length for the field Student Last Name is 500 characters.

Child's Class

Section	Price	Quantity	Total
Monday-Friday	$80.00		$0.00
Monday/Wednesday/Friday	$55.00		$0.00
Tuesday/Thursday	$55.00		$0.00
		Please choose at least one section.	Total: $0.00

Total Amount Due: $0.00

My billing information is the same as my contact information.

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Credit Card Number *

CVV Number * What is this?

Credit Card Type *

Expiration Month *

Expiration Year *

Additional Comments