REGISTRATION IS COMPLETE AFTER PAYMENT IS MADE THROUGH PAYPAL

Cost for the Second Class during Fall Colored Leaf Session is $245

1. Fill out the form below to register.
2. After the form, you will be forwarded to PayPal for payment.
Registration Form for Fall Colored Leaf Session (September 15 – November 16, 2008)


Child’s Name: Age (as of start of class):
Child's Birthdate:
Indicate Your 20% Off Class:
Class Name (ie.Zebras):
Day: Time:

Returning Family

New Family

* Note: We do not send confirmations. Please assume your first choice has been accepted unless we contact you prior to the start of classes.

Parent’s Name:
Home Address:
City/State:
Zip Code:
Home Phone Number:
Alternative Phone Number (Work/Cell/Other):
Emergency Contact & Phone Number:
Email Address:

Where is your child in preschool?

Would you like to learn more about our new AFTERNOON ART & MOVEMENT DROP-OFF CLASS for 3s and 4s? Classes held 1:00-3:00pm daily!  Yes No.

Liability Waiver
Must be AGREED to before your child participates in classes

Release Agreement: I understand that there are risks inherent in any type of physical activity, and that it is my responsibility to verify my child’s fitness to participate in any class at Jonah’s Treehouse,LLC. I agree that I, or an authorized guardian or caregiver, will remain with my child at all times while s/he participates in any Jonah’s Treehouse class. Should any injury occur while my child is participating in Jonah’s Treehouse classes, I hereby agree to hold Jonah’s Treehouse, LLC harmless for such injuries. I also agree that, as my child will be in close proximity to other adults and children, I will not bring my child to classes if she/he is ill; makeups can be arranged.

Date: