7 Addison Street
Larchmont, NY 10538
914-833-2880

Kindergarten Enrichment 2013-2014
Please use a separate registration fo...
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Kindergarten Program Registration Form for Tuesday

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Kindergarten Program Registration Form for Tuesday

  1. 1. 7 Addison Street Larchmont, NY 10538 914-833-2880 Kindergarten Enrichment 2013-2014 Please use a separate registration form for each child. Child’s Name: _____________________________________________________________________ Teacher’s Name :_________________________ Exit Door:________________________________ (Chatsworth only) Date of Birth: _____________ Allergies: ________________________________________________ Email Address:____________________________________Contact Names_____________________ Cell: _______________________________ Home:________________________________________ Address___________________________________________________________________________ __________________________________________________________________________________________________ ---------------------------------------------------------------------------------------------------------------------------------------------------- 2013-2014 Monthly Dates – TUESDAY’S October – 10/1, 10/8, 10/15, 10/22, 10/29 - $150 or $170 with pizza lunch_____________________ November - 11/12, 11/19, 11/26 - $90 or $112 with pizza lunch ______________________________ December – 12/3, 12/10, 12/17 - $90 or $112 with pizza lunch_______________________________ January – 1/7, 1/14, 1/21, 1/28 - $120 or $136 with pizza lunch______________________________ February - 2/4, 2/11, 2/25 - $90 or $112 with pizza lunch ___________________________________ March - 3/4, 3/11, 3/18, 3/25 - $120 or $136 with pizza lunch________________________________ April - 4/1, 4/8, 4/22, 4/29 - $120 or $136 with pizza lunch__________________________________ May – 5/6, 5/13, 5/20, 5/27 - $120 or $136 with pizza lunch_________________________________ June – 6/3, 6/10, 6/17 - $90 or $112 with pizza lunch______________________________________

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