Grasshopper Green Preschool
Summer Fun Program 2020
Registration
July 6th-August 17th
9:00 a.m. to 2:00 p.m.
Monday through Friday
Name _____________________________ Sex __
Address____________________________________________
Age _____ Birthdate ______________Telephone ___________
Parents: Mother __________________Telephone ___________
Father __________________ Telephone ___________
Email address ____________________________________
Non-Refundable Deposit: $50.00
Date received ___________________
Will be applied to tuition
Please complete and return with Registration Fee to:
Grasshopper Green Preschool
1 Sterling City Road
Lyme, CT 06371
(860) 434-1844