Spring Break Registration Form

Please fill out and submit this form.

One child per form please.

Parent or Guardian First Name:
Parent or Guardian Last Name:
Home Address:
City:
State:
Zip Code:
Contact Phone Number:		Ph. Type:
Contact Email:
Child's First Name:
Child's Last Name:
Child's Age:
Child's Date of Birth:

Check each day your child will attend and add trip option. (Tuition and trip costs are not due at this time.)
Monday, April 6th	Center Day - Group Games
Tuesday, April 7th	Knott's Berry Farm	Option:
Wednesday, April 8th	Water Day at Montanoso
Thursday, April 9th	Center Day - Olympics
Friday, April 10th	Bowling	Option:

Both the submission of this form,
and payment of the $50 registration fee,
are required to complete your registration.

You will be taken to the payment page
after submitting this information.

Serving the communities of Ladera Ranch, Mission Viejo, Las Flores, Laguna Niguel, San Juan Capistrano,
Rancho Santa Margarita, San Clemente, Dana Point, Lake Forest, Aliso Viejo and surrounding areas.