Child's Birthday *

MM

DD

YYYY

Second Child's Birthday

MM

DD

YYYY

Parent/Guardian Name *

First Name

Last Name

Which weeks would you like your child to attend (please select all that apply) *

We will have our end of year ceremony on June 6 and begin Summer Vibes the following week. Please select all of the weeks you are interested in having your child attend in June.

Week 1: June 9-13

Week 2: June 16-20

Week 3: June 23-27

Please select the schedule that you'd like your child to attend *

SSPG Now meets Mon-Fridays 8:30-4p. Please refer to the table above for pricing.

4 DAYS(TU-FR)/5 HOURS (9-2)

5 DAYS (MON-FR) /5 HOUR(9-2)

4 DAYS (TU-FR) /7.5 HOURS (8:30-4)

5 DAYS (MON-FR)/7.5 HOURS (8:30-4)

Yes, it okay to use my child's photo on Song Sparrow Playgarden's Facebook and Instagram. *No name, age, or information will be attached. *

Yes it is ok!

No thank you

No partial refunds given for missed classes or withdrawal after the start of the session. Spots are guaranteed only after receiving payment. *

By checking this box, you are stating you have read and understand the cancellation policy.

Licensing regulations require me to have forms on file for all children in my care. No need to complete a new set of forms since I still have them in my files, but I may need an updated vax record if your child has gotten any shots since I've seen them. This can be sent via email.

By checking this box I understand that my child will need proof of vaccinations to attend summer camp.