Playful Discovery Registration Form
PARENT INFORMATION
Today's Date
Name
Home address
Home phone
Mobile phone
E-mail
CHILD INFORMATION
Child name
Birthday (mm/dd/yyyy)
Child name
Birthday (mm/dd/yyyy)
Child name
Birthday (mm/dd/yyyy)
PACKAGE
1st child
 2nd child
 3rd child
Per class
$15                        $7.50                        $7.50

$70                        $35                           $35

$130                      $65                           $65

$180                      $90                           $90
5 classes
10 classes
Semester
(15 classes)
Type in
package
How did you hear about us?
The Gateway Institute, Inc. has permission
to use my child's photographs on the
website and/or in any advertising materials.
Type in Yes or No
Please bring in payment (cash or check) on your 1st day of class. Please make check payable
to The Gateway Institute, Inc. or TGI, Inc.
Spring Semester 2010
begins January 15th
Sign-up soon!

January 15, 22, 29

February 5, 12, 26

March 5, 12, 19, 26

April 9, 23, 30

May 7, 14
Summer Session 2010
begins June 4th
Sign-up soon!

June 4, 11, 18, 25

July 9, 16, 30

August 6
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SUMMER SESSION PACKAGE
$15 per class
$100 full summer session (8 classes)
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