Learning Tree Registration Form

$0

Total
Name Name * First Last
Phone Number Phone Number * - ### - ### ####
Email *
Child's Name Child's Name * First Last
Date of Birth Date of Birth * / MM / DD YYYY
Gender
Requested Start Date Requested Start Date * / MM / DD YYYY
Parents are responsible for all tuition expenses as we do not accept State Vouchers.
Optional Specific Hours Needed
Comments
Attestations:
1. I understand that Learning Tree if a private pay only facility and that I will be responsible for all fees and tuition costs.

2. I understand that any child 12 months and older must be using a sippy cup to attend classes.

3. I understand that all sanitary items for children (diapers, pull-ups, wipes) must be disposable as reusable items are not accepted at Learning Tree.

I have read the above statements and understand these terms. Please initial below: *
Must be 2 characters. Currently Entered: 0 characters.
Payment - $25.00

The registration fee will be counted towards the enrollment fee upon enrollment. The fee is non-refundable but is used to represent a dedicated interest in becoming part of our family. We are accepting enrollment applications for all classes, registration does not guarantee placement as we enroll based on openings and our families on the waitlist. Families will be contacted about availability once registration is received.