The Learning Laboratory - extended day-school
CAMP STAR APPLICATION FOR ENROLLEMENT
Parent's name
Parent's Name
Student's Name
Student's Name
Student's Name
weekly session attendance
Week 1
Week 2
week 3
week 4
week 5
week 6
week 7
week 8
week 9
Transportation can be provided at an additional cost. Please specifiy your needs
Do not need transportation
need transportation
If transportation necessary, state your needs:
transportation from home
transportation from school
transportation to school
transportion home
alternate route
age of student #1
age of student #2
Student's home address
people permitted to pick-up student
accept conditions of liability?
best time to call
Hours
 
 : 
Minutes
 
date student expected to begin
I agree to the conditions delineated in the parent/student handbook
I do agree
I do not agree and withdrawal my application
****PLEASE REVIEW HANDBOOK BEFORE SELECTING THIS ITEM.

Our company is based on the belief that our customers' needs are of the utmost importance. Our entire team is committed to meeting those needs. As a result, a high percentage of our business is from repeat customers and referrals.

We would welcome the opportunity to earn your trust and deliver you the best service in the industry.

Location:
123 Main St
Anytown, MA 02421

Hours:
Mon - Fri: 9AM - 5PM
Sat: 10AM - 5PM
Sun: Closed
 
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