Grasshopper Green Preschool
Summer Fun Program 2020
Registration
July 6th-July 17th
9:00 a.m. to 1:00 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 Circle
Week 1: JULY 6th- July 10th
Monday through Friday 9-1:00 pm Total $160.00
Week 2: July 13th- July 17th
Monday through Friday 9-1:00 pm Total $160.00
Week 1 & Week 2
Please complete and return with Registration Fee to:
Grasshopper Green Preschool
1 Sterling City Road
Lyme, CT 06371
(860) 434-1844