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Waiting List/Registration Form
Child's Name:
Date of Birth:
Child's Primary Street Address:
City, State, & Zip: , ,
Name(s) of siblings enrolled:
Parent/Guardian Information:
Parent/Guardian Name:
E-Mail Address:
(H) Phone:
(W) Phone:
(C) Phone:
Street Address:
City, State, & Zip: , ,
(2) Parent/Guardian Name:
E-Mail Address:
(H) Phone:
(W) Phone:
(C) Phone:
Street Address:
City, State, & Zip: , ,
Fill in Option(s) for this child:
Before School Grades K-8: 7a.m. - 8:30a.m.
$5 per day
What days per week are needed: Monday Tuesday Wednesday Thursday Friday

After School Grade K: 2:15p.m. - 5:45p.m.
5 days/week $17 per day ($15 for additional siblings)
4 days/week $19 per day ($17 for additional siblings)
2-3 days/week $20 per day ($18 for additional siblings)
1 day/week $22 per day ($20 for additional siblings)
What days per week are needed: Monday Tuesday Wednesday Thursday Friday

After School Grades 1-8: 2:15p.m. - 5:45p.m.
5 days/week $15 per day ($13 for additional siblings)
4 days/week $17 per day ($15 for additional siblings)
2-3 days/week $18 per day ($16 for additional siblings)
1 day/week $20 per day ($18 for additional siblings)
What days per week are needed: Monday Tuesday Wednesday Thursday Friday

Comments:

Please send a yearly registration fee (nonrefundable) of $40 and a one week tuition deposit per child upon submittal of this form to:
Bow Youth Center
21 Bow Center Road
Bow, NH 03304
Phone: (603) 856-7245

Deposit will be a credit toward last week of enrollment with a minimum two-week notice. Tuition may be paid through Tuition Express on a weekly basis or monthly check accepted. All tuition must be paid in advance. Tuition is due for enrollment schedule (including holidays & vacation weeks, & weather related closures) whether or not your child is in attendance. Additional time can be added to your child’s schedule as needed (occasional added days, added hours during vacation weeks, added hours due to school closure for inclement weather).