Child 1

First Name
MI
Last Name
Gender
Birthdate

Child 2

First Name
MI
Last Name
Gender
Birthdate

Physician Information

Physician
Physician Phone

Parental Contact

Parent Last Name
Parent First Name
Home Phone
Work Phone
Cell Phone

Contact Information

Address
City
State
Zip
Email
Emergency Name
Emergency Phone

Child 1 Class Options

Class Name
Option 1 day
time
Option 2 day
time

Child 2 Class Options

Class Name
Option 1 day
time
Option 2 day
time
Other Information How did you hear about us?
Comments

Tuition:

Children can join at any time throughout the year, based on class availability. Please call for pro-rated tuition schedule for ongoing enrollment. All enrollment is handled over the phone. Please call 502-744-0003 for availability.

Refunds:

We are very flexible. If for any reason you need to withdraw throughout the year, you can notify us in writing to discontinue the upcoming payments. There will be no refunds or credits for missed classes prior to written notification. Any remaining balance from that point will be refunded.

Payment Types:

MC, Visa and Discover cards are accepted over phone. If you prefer to pay by check or cash, please call 502-744-0003 for address and information.

Make-up Classes:

Make-ups for our Public classes may be rescheduled at your convenience throughout the year, based on class availability. Please call ahead to notify staff.

Other:

Classes at the daycares and preschools are only open to students at those schools. Classes at the Jewish Community center are open to all students. We will have other public offerings in 2013!