Join our waitlist to have your child eligible for our next available space!

Copy and complete the form below, then E-mail it to Susie.HappyHearts@gmail.com

Child Name 
Child’s Birthday 
Parent Name(s) 
Phone Number 
E-mail 
Preferred Attendance (M/T/W/Th/F) 
Home Address 
Parental Occupation(s) 
Requested Start Date 
End Date 
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