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 – FRIDAY
October – 10/4, 10/11, 10/18, 10/25, 11/1 - $150 or $170 with pizza lunch____________________
November - 11/8, 11/15, 11/22 - $90 or $112 with pizza lunch ______________________________
December – 12/6, 12/13, 12/20 - $90 or $112 with pizza lunch_______________________________
January – 1/10, 1/17, 1/24, 1/31 - $120 or $136 with pizza lunch_____________________________
February - 2/7, 2/14, 2/28 - $90 or $112 with pizza lunch ___________________________________
March - 3/7, 3/14, 3/21, 3/28 - $120 or $136 with pizza lunch________________________________
April - 4/4, 4/11 4/25, 5/2 - $120 or $136 with pizza lunch__________________________________
May – 5/9, 5/16, 5/23, 5/30 - $120 or $136 with pizza lunch_________________________________
June – 6/6, 6/13, 6/20 - $90 or $112 with pizza lunch______________________________________