Sparrow Institute's
Tiger Kids
After-school program application
(all fields are required)

Student's Name:        DOB:
Parent/Guardian:
Address:              
City:                           State:      Zip:
Home Phone:            Work Phone:
Cell Phone:               Email:
School:       Grade:

 

 

 

 

Program:      Session:
Days:      Monday      Tuesday      Wednesday      Thursday
Cost:

1 day/week - $75.00

2 days/week - $100.00

3 days/week - $125.00

4 days/week - $150.00

If you will be paying by CHECK (payable to Sparrow Institute), check this box.
If you will pay with a credit card, only click submit and you will be redirected to the Payment page.


I have read and agree to the above statement:

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