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Re-Registration Form

Please confirm or deny Registration for the 2018-19 Academic School Year at Rock and Roll Daycare by completing this form.

Location *

East Cambridge

Central Square

Broadway

Current Classroom

Infant

Toddler .5

Toddler 1

Toddler 2

Preschool

Child's Name *

First/Last

Date of Birth *

Gender *

Male

Female

Parent Name *

First / Last

Phone Number *

Email *

Parent 2 Name

First / Last

Phone Number

Enrollment Confirmation

Yes, I would like to confirm enrollment for the 2018-2019 academic school year.

Yes

T-Shirt size for my child

Newborn Onesie

6 month Onesie

12 month Onesie

Each child registering for the following year will receive a Rock and Roll Daycare T-Shirt/Onesie.

No, I will not be returning for the 2018-2019 academic school year.

Not Returning

My child is graduating Preschool from RRDC, so he/she will not be returning for the 2018-19 Academic School Year

I understand that a 45 day written notice is required for my non-refundable deposit to be used towards my final 2 weeks of care if I am not returning for the Academic Year of 2018-2019.

(If Applicable) My last day at Rock and Roll Daycare will be

(If Applicable) Reason for departure:

Signature

Draw It
Type It
Clear

Date

Your $75.00 re-registration fee will be paid in conjunction with the June 23rd tuition payment.

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