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Lisa Miller
Tasia Sprovach
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Registration - 2024-25
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8260 Jackson Road
Ann Arbor, MI, 48103
(734) 426-2491
Grow with your kids!
Your Custom Text Here
Programs
Teachers
Lisa Miller
Tasia Sprovach
Enrollment
Ask Us Anything
Registration - 2024-25
Forms
About
About Us
Contact
Mission
Calendar
Tuition
Fundraising
Donate
Employment Opportunities
Enrollment Form 2024-25
First and Last Name of Student
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Gender
*
Male
Female
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Name of Caregiver #1
*
First Name
Last Name
Relationship to Student
*
Address (if different than student's)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Name of Caregiver #2
First Name
Last Name
Relationship to Student
Address (if different than student's)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Email
Please select Assist vs. Non-Assist
*
*Important Notes: Please see our website (www.dextercoop.com/tuition) to view current tuition rates for assist and non-assist roles. These tuition rates are subject to change. 3s assist parents can expect to assist 1-2 times per month during their child’s class time, and 4s assist parents can expect to assist 2-3 times per month during their child’s class time. Assist spots are limited to 2 spots per class (based on a full class).
Assist
Non-Assist
Please Select First Preference Class (3AM, 3PM, 4AM, 4PM):
*
3AM
3PM
4AM
4PM
Would you be interested in the opposite class, should your first preference be full? (ie: 3PM, if selecting 3AM for first preference)
*
Yes
No
Registration Agreement:
*
We require students to be potty trained by the start of the school year. Submitting this form does not complete the enrollment process or secure your spot in a class. Caregivers as listed in this form will be contacted via email (typically within a few days) with additional forms to submit before the enrollment is complete. There is a $150.00 non-refundable enrollment fee due at the time of completing the additional enrollment forms. Tuition rates are subject to change. Current rates for the 2024-2025 school year can be found at www.dextercoop.com/tuition. By typing your name below, you indicate that you have read, understood, and agreed to the above Registration Agreement.
Thank you!