Registration Form

For School Year 2023-24: Registration is OPEN.

For Summer Camp 2023:  PLEASE CALL FIRST before registering, as space is very limited and we are starting waitlists for some age groups.  (732) 929-2500.

For School Year 2022-23: Limited spaces are still available for the 2022-23 School year.  Please call first before registering to assure availability for your child’s age group. (732) 929-2500.  

Child's Information

Date of Birth

Home Address

Parents' Information

Parent/Guardian 1

Parent/Guardian 2

Physician/Emergency Contact:

Physician

Emergency Contact

In addition to the guardians listed above, who else is authorized to pick up your child?

Other Children in Family:

Are you registering your child for:

$150
$100

Weekly Schedule

Monday

Tuesday

Wednesday

Thursday

Friday

How did you hear about The Peppermint Tree?