Registration

Summer 2019 is almost completely booked, so please call first to find out about availability before registering. School Year 2019-20 is also filling quickly – so please call us at 732-929-2500 to discuss availability.

Child's Information

* denotes "required" field


Home Address

Parents' Information

Parent/Guardian

Parent/Guardian 2

Physician/Emergency Contact:

Physician


Emergency Contact

Who is authorized to pick up your child?

Other Children in Family:

Are you registering your child for:

Child's Calendar




* Saturday morning music and movement

Weekly Schedule

From: To: # of Hours:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday*

* Saturday is restricted to “My Parent and Me” ONLY!

How did you hear about The Peppermint Tree?


After you submit this form, you'll have the option to pay the Registration Fee online.