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 – 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______________________________________