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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.
4-5 days/week $17 per day
2-3 days/week $19 per day
1 day/week $22 per day
What days per week are needed: Monday Tuesday Wednesday Thursday Friday

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

Pre K (3 - 5 years of age) 7 a.m. – 5:45 p.m.
4-5 days/week $34 per day
2-3 days/week $36 per day
What days per week are needed: Monday Tuesday Wednesday Thursday Friday

Pre K (3 - 5 years of age) Options: 8 a.m. – 2:15 p.m.
4-5 days/week $30 per day
2-3 days/week $32 per day
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 on a weekly, bi-weekly, or monthly basis. All tuition must be paid in advance. Tuition is due for enrollment schedule (including holidays & vacation weeks) 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).