Redding FunforOnesRegistration 2015 16 (PDF)

Please circle the session(s) that you are registering for and indicate your time preference:

Fall 2015

Winter Session 2015-16

Spring 2016

September 18 & 25

December 4, 11 & 18

March 11 & 18

October 2, 9, 16, 23 & 30

January 8, 15, 22, 29

April 1, 8, 22 & 29

November 6 & 13

February 5 & 12

May 6, 13 & 20

$350

$350

$350

9:30 – 10:30 am ____ or

9:30 – 10:30 am ____ or

9:30 – 10:30 am ____ or

11:00 am – 12:00 pm _____

11:00 am – 12:00 pm _____

11:00 am – 12:00 pm _____

Register for All Three Sessions by September 11, 2015

$900

PLEASE NOTE:


This program is designed for children between the ages of 12 months (by December 31, 2015) to 24
months. Please contact our office if your child does not meet this requirement.



Children must be accompanied by an adult. Due to space limitations, we kindly ask that each child
be accompanied by only one adult per session.



Each class time (9:30 – 10:30 am or 11:00 am – 12:00 pm) will be limited to eight participants per
session. Class times will be filled on a first-come, first-served basis. Registration form and payment
are required to reserve a spot.



Please enclose payment (in the form of a check made payable to Ridgefield Academy) in the
amount of $350.00 per session or $900 for all three sessions. Payment is non refundable.



Enrollment in one session does not automatically guarantee a space in the next session. Please
enroll in all desired sessions at one time to guarantee placement.

Name of Child: ___________________________ Date of Birth: __________________

M/F

Name of Parent: ___________________________________________________________
Name of Parent or Caregiver attending with child: ____________________________________
Home Phone: ____________________________ Cell Phone: ________________________
Email: _____________________________________________________________
Street Address: ______________________________________________________
Town: ________________________________ Zip Code: ____________________________
Please return this form and payment to
Kimberly Swabsin at Landmark Preschool
20 Portland Avenue, Redding, CT 06896
kswabsin@landmarkpreschool.org