The Learning Tree Enrollment Form
Date of enrollment___________________
Name______________________________________________D.O.B__________Age_______
Parents Names_______________________________________________________________
Address______________________________City_____________________zip_____________
Home Phone_______________________ Cell______________________________________
FEE SCHEDULE
Nonrefundable deposit of $45 to secure spot and supplies.
Please check one:
*___________Monday/Tuesday- $75 _________ with transportation $ 110.00
*___________Wednesday/Thursday/Friday-$85_______ with transportation $120.00