Four Seasons - School-Age Program Online Registration Form

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For more information call: 715-FUN-KIDS

Download School-Age Program Registration Form

To speed up the registration process you may download our registration form from this page or fill out the form online.
Download Registration Form Here

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Online Registration Form For School-Age Program

Today’s Date
Requested Start Date
Child's Name	Birthday	Gender
Address	City	Zip
Mother's Name	Mother's Email
Mother's Home Phone	Mother's Cell Phone
Mother's Employer	Mother's Work Phone
Father's Name	Father's Email
Father's Home Phone	Father's Cell Phone
Father's Employer	Father's Work Phone
Requested Days
Monday Tuesday Wednesday Thursday Friday
Requested Daily Hours
to
How did you hear about Four Seasons Child Care?
Transportation is needed for my child:
My child will need transportation to and/or from Somerset Schools as noted below:
To School: Grade Time
From School: Grade Time
HOW TO ENROLL YOUR CHILD: 1. Complete a Registration Form for each child being enrolled. 2. Attach a $35 registration fee and first week’s tuition with each Registration Form Once your child's registration is received by Four Seasons School-Age Program, you will be asked to fill-out additional paperwork (health/immunization form, emergency contact form, etc.). AMOUNT DUE AT TIME OF REGISTRATION: $35 Registration Fee, plus first week’s tuition per child (refer to Rate Sheet) I UNDERSTAND THAT: At the time of my child's registration, I will pay a $35 registration fee and the first week's tuition. There are no refunds for tuition or registration payments. All coupons & promotions, in order to be valid, must be presented prior to enrolling your child. Tuition is due on Friday for the following week. A full two-week written notice is required from the parents prior to withdrawing their child from Four Seasons Child Care. If the parents decide that their child's final day will be prior to the full two-week notice date, the parents are still responsible for paying tuition for any unattended days within the full two-week period. I agree to these terms and understand that entering my name below constitutes my virtual signature. Your Full Name: