Sum(mer) Fun Registration
2017
If you wish to enroll your child please fill in this sheet and return it to
the office with a non-refundable $25.00 registration fee (includes all
snacks and supplies). The classes will be filled as the applications
are returned.
Child’s Name__________________________ Date of Birth__________
Parent’s Name_______________________________________________
Address_________________________________ Zip Code___________
Phone____________________
Cell Phone______________________
E-mail address_______________________________________________
*** Please mark the session you wish your child to attend. ***
This year’s New Twos:
$200
____ June 5 - June 23
T, Th
9:15-11:30
(If your child is now in the New Twos
or will be in our Twos class in the Fall)
This year’s Twos:
$270
____ June 5 - June 23
M, W, F
9:00-12:00
(If your child is now in the Twos or
will be in our Threes class in the Fall)
This year’s Threes and Fours:
$395
June 5 - June 23
____ M-F
8:30-12:30
Payment may be made by check or through JU’s online payment system.
Use the drop-down menu to select WLPS and input your child’s name in
the space provided.
http://jupay.ju.edu