Summer Enrollment Commitment *

I hereby commit to the upcoming summer session for my child(ren). By completing this form and paying the enrollment fees, I understand and agree to fulfill the financial obligations agreed upon for part-time or full-time care for May, June, July, and August. I understand that in the event of unforeseen circumstances that I must terminate care, that I am still responsible for payment unless MHK Play Studio can find another family to take over our financial commitment.

I understand that I am enrolling my child(ren) in the 2024 Summer Program from May-August.

Parent Name *

First Name

Last Name

Parent Name

First Name

Last Name

Preferred Phone *

(###)

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Emergency Phone *

(###)

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Child's Name *

First Name

Last Name

DOB *

MM

DD

YYYY

Child's Name

First Name

Last Name

DOB

MM

DD

YYYY

Child's Name

First Name

Last Name

DOB

MM

DD

YYYY

Payment Due Date *

I understand that monthly fees are due by the 5th of each month with a late fee of $20 if not received in time.

Swim Pass

I understand that I am responsible for purchasing a swim pass for my child(ren) with the City of Manhattan Parks and Rec Department.

Additional Fee(s) *

I understand that if I choose to pay weekly there will be an additional 5% processing fee.

I understand that if I am late for pick-up, I will be charged a late pick-up fee due the day of.

Handbook Confirmation

I have read the parent handbook.