Summer Program ApplicationPlease complete the application below. Child's Name * First Name Last Name Date of Birth * MM DD YYYY Parent or Guardian Information Parent #1 * First Name Last Name Relationship to Child * Email * Mobile Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Occupation Parent #2 First Name Last Name Email Mobile Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Same address as Parent 1? Yes Occupation How many days a week do you wish to enroll your child? Please select one * 5 days 4 days 3 days How did you hear about us? Please select one * Instagram Facebook Friend or Colleague Art & Play Saturday Other Thank you for applying! We will process your application within 5 business days.
