29 East Walnut Street
Lancaster, PA 17602
717-394-7231
ENROLLMENT AGREEMENT
Full name of Child:_______________________________________________________________________
Name Child is Called:________________________________Birthdate______________
Home Mailing Address:____________________________________________________
street or box
______________________________________________________________________________________________
city state zip
Home Phone:_______________________________
Father's Name:___________________________________________________________
Employer:_____________________________Phone:____________________________
Mother's Name:__________________________________________________________
Employer:_____________________________Phone:____________________________
Registering for:
___ Little Paws (2-3 year old): Tuesday and Thursday (9:00 am - 11:30 am)
____ Big Paws (3-4 year old): Monday, Wednesday, Friday (9:00 am - 1:00 pm)
____ Big Paws (3-4 year old): Tuesday & Thursday (9:00 am - 1:00 pm)
____ Grand Paws (Pre-K; 4-5 yr old): Monday, Wednesday, Friday (9:00 am - 1:00 pm)
____ Grand Paws (Pre-K; 4-5 yr old): Tuesday, Thursday, Friday (9:00 am - 1:00 pm)
(There is some flexibility with class scheduling to best meet your child and family needs.
Please call the Director for assistance.)
(In the event that a class does not fill, you may be contacted to make other class choices.)
