Registration

Christ Church Day School- Super Science Friday Enrichment
2018-2019 Registration
Current immunization records are required for enrollment

* Indicates required field

Child's Full Name *

First

Last

Name to be called *

Gender *

Male Female

Date of Birth *

Current Age *

If your child has any special needs and/or health problems that we should be aware of, please list below and describe in full: *

Street Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (if different) *

Line 1

Line 2

City

State

Zip Code

Country

Parent Information

Mother's Name *

First

Last

Father's Name *

First

Last

Mother's Email *

Father's Email *

Mother's Cell *

Father's Cell *

Mother's Work *

Father's Work *

Mother's Home *

Father's Home *

Session Information

Checks are made payable to Christ Church Day School. Once the session begins, all fees are non-refundable.
Immunization record must be on file in the school office.
All three and four year old students must be potty trained.

Which Session(s) are you registering? *

Session 1: September 7-28 (4 classes) - $105 Session 2: October 5- November 2 (4 classes) - $105 Session 3: November 9-December 14 (5 classes) - $130 Session 4: January 11-February 8 (5 classes) - $130 Session 5: February 22-March 22 (5 classes) - $130 Session 6: April 5-May 17 (6 classes) - $155

Submit

Christ Church Day School- Super Science Friday Enrichment2018-2019 RegistrationCurrent immunization records are required for enrollment

Parent Information

Session Information

Christ Church Day School- Super Science Friday Enrichment
2018-2019 Registration
Current immunization records are required for enrollment