Register: Step 1

 New Student Returning Student
Student's Name:
Email:
Address:
Parent Names:
Parent 1:
Parent 2 Phone:
Other person responsible for child (babysitter, grandparents, emergency contact etc.):
Phone:
School:
DOB:
If your child has allergies, special medical conditions, learning disabilities, difficult family circumstances or anything else you please let us know so that we may be sensitive with these areas.
Class Day (Pick 2)
1st Class Day Choice:
2nd Class Day Choice
Camp Week(s) OR One-Day-Camp Date(s):
Location:
 Needham Wellesley Either (If my first choice is full)
Any Other Information helpful for us to know:
How Did You Hear About Us?:
Promotional codes:
I have read and I am in agreement with the policies page of this web site.