0-6 Month Registration Form

  • Parent 1

  • Parent 2

  • Emergency Contact

    Please list name, home phone, cell phone and relationship to child
  • Cost per 12 week session is $140.00 due at time of registration

  • Registration Payment

  • I agree to pay the above charges and all non-member security fee and any other JRM Preschool charges based on the payment option I have selected.

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