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
Choose Your Schedule
5 days: 09:00 am - 12:00 pm
5 days: 09:00 am - 03:00 pm
5 days: 09:00 am - 06:00 pm
3 days: 09:00 am - 12:00 pm
3 days: 09:00 am - 03:00 pm
3 days: 09:00 am - 06:00 pm
Emergency Contact Number
List Any Allergies Your Child May Have
Total Weeks Between June 24 to August 30 (start & end dates)
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.
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.
I understand that a non-refundable $200 deposit per child is required in order to apply discounts and secure my child's spot.
How Did You Hear About Us?
Please double check your info before submit!
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