Registration  2021-22

NAME_________________________________________________________SEX____

ADDRESS______________________________________________________________

AGE________BIRTH DATE____________________ TELEPHONE________________

PARENTS: MOTHER__________________________Cell number _______________

FATHER___________________________Cell number _______________

Email address________________________________________________

DAYS REGISTERED (choose 3 to 5 days)  

                          Little Grasshoppers Preschool program is for children 32months - 5 years of age. 

                                   Children must be 32 months or older to enroll in our preschool program.

                                                Please Choose 3 to 5 days to Attend   

                  Half days:                                                           Full Days:

                 Monday 9-11:30                                               Monday 9-2:30

                 Tuesday 9-11:30                                               Tuesday 9-2:30

                 Wednesday 9-11:30                                         Wednesday 9-2:30

                 Thursday 9-11:30                                            Thursday 9-2:30

                 Friday 9-11:30                                                  Friday 9-2:30


Two Program Mini Grasshopper Program:  Tuesday & Thursday 9-11:30am- Children must turn 2 by September 1st to attend in the fall 2021

NON-REFUNDABLE REGISTRATION FEE: $75.00

Date received____________________

Please circle days registered and mail to:

Grasshopper Green Preschool

1 Sterling city Road

Lyme, CT 06371

860/ 434-1844

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