Registration:

Parent's Name(s): ______________________

Caregiver: _______________________

Child's/Children's Name and Ages:

_________________________________

Address: _________________________

_________________________________

Telephone(s): _____________________

_________________________________

Class and day: ____________________

Amount of check enclosed: _________

_________________________________

Policy Information:

Classes and days off follow school calendar year

Weather Cancelations will follow the Belmont School's. (I will provide a makeup)

No tuition reimbursements after the first week of classes.

Sibling discounts offered for parent child classes only.

$30.00 processing fee for cancelations before the first week of classes.

To enroll send registration form with

payment to:

Leesa Kurtz Stolbach

25 Saint Peter St. #3R.

Jamaica Plain, MA 02130

617-524-5585 / cell-339-368-0312

kurtzl@msn.com

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