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___________________________________________________________________________
__________________________________________________________________________________________________
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2013-2014 Monthly Dates – THURSDAY
October – 10/3, 10/10, 10/17, 10/24, 10/31 - $150 or $170 with pizza lunch____________________
November - 11/7, 11/14, 11/21 - $90 or $112 with pizza lunch ______________________________
December – 12/5, 12/12, 12/19 - $90 or $112 with pizza lunch_______________________________
January – 1/9, 1/16, 1/23, 1/30 - $120 or $136 with pizza lunch______________________________
