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Talent Prep Summer Program Registration Form
(155 East Broadway Location)
Child's First Name
Child's Last Name
Child's Date of Birth
Choose Your Program
Gifted & Talented Preparation
Academic Readiness
Academic Boost
Mandarin Immersion
Choose Your Schedule
5 days: 09:00 am - 12:00 pm
5 days: 09:00 am - 03:00 pm
3 days: 09:00 am - 12:00 pm
3 days: 09:00 am - 03:00 pm
Others
Address
Parent's Name
Parent's Email
Emergency Contact Number
Total Weeks Between June 29 to September 4 (start & end dates, minimum packet starts from two weeks.)
List Any Allergies Your Child May Have
Days You Choose (for part-time families only)
Emergency Care Procedures You'd Like Us to Follow
Any Extended Days?
I give permission for Talent Prep to take pictures/videos of my child during educational activities for assessment, classroom decoration, newsletter, publishing and other educational and public relation purposes.
Yes
No
I understand that an overdue payment fee will be applied to late payment and Talent Prep Child Development Center reserves the right to stop providing educational service to students for nonpayment.
Yes
I understand that a non-refundable $200 deposit per child is required in order to apply discounts and secure my child's spot and the $200 deposit will be applied towards your total tuition.
Yes
How Did You Hear About Us?
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