$
PLAYLAB133 MEMBER
date
CHECK TOTAL
EXTENDED DAY
REGISTRATION FORM (PLEASE PRINT CLEARLY)
STUDENT INFO
PARENT INFO
STUDENT NAME
PARENT NAME TEACHER
GRADE
PARENT EMAIL
ALLERGIES
PARENT CELL
>
>
PLS CIRCLE
Is your child in US or KO? If so, pls circle day(s): M T W Th F
EMERGENCY CONTACT NAME AND NUMBER
PAYMENT INFO
I am registering in full for the classes selected below = $
I have a deposit (DATE:
) with playlab for $
I would like to add playlab133 Care for: M T W Th F$
Non-refundable registration fee $
25
TOTAL AMOUNT DUE $ playlab133 Care (must be registered for at
least 1 playlab133 enrichment) (PK-5) 1 hr
($90) 2 hrs ($160) each day needed.
TOTAL
CREDIT
REFUND POLICY
(indicate 1 or 2 hours)
We will issue a full refund before the 1st class.
After the 1st class, we will issue a 75% refund.
REGISTRATION FEE
After the 2nd class we will issue a 50% refund.
There are no refunds after the 3rd class.
check or money order
2015 WINTER CLASS SCHEDULE
$200
Hip Hop with
Dancewave (2-5)
Make Me Laugh w/
Beanstalk (2-5)
$150
$150
4:10-5:00PM
Drama w/ Ms. Davis (3-5)
4:00pm-6:00pm
$150
Private Piano and/or
Singing** (1:1 or 1:2) w/
Katie (K-5) 4:00-6:00pm.
___30 mins $280
___45 mins $380
Chess w/ NY Chess
and Games (K-5)
___4:00pm-5:00pm or
___5:00-6:00pm $160
___4:00pm-6:00pm $200
$150
Private or semi-private.
French Homework and
Games (K-1) $150
Circus Arts w/
Beanstalk (2-5)
$170
French Homework
Games (2-3) $150
Guitar w/ Ms. Hudson
(2-5) $150
Capoeira w/ ACAI
(PK-1)
$170
Little bit w/ bit bots
(PreK-2)
$170
Modern Dance with
Dancewave (1-5)
Robotics (3-5) $160
Tennis with Mr. Blatt
(K-5) tentative
**Please contact playlab133 to book a specific time.
$150
$170
Circus Arts w/
Beanstalk (K-2) $170
5:10-6:00PM
4:10-5:00PM
Math w/ Ms. Hudson
(K-2)
Conversational Spanish
w/ Mrs. Rabsatt (K-2)
Coding with Mr. Ratner
(2-5) $150
French Theatre w/
Language Laughter
Studio (K-2) 3:00-4:30pm.
(We can offer care until
5pm)
$280
$170
Soccer with Mr. Blatt
(Prek-5) tentative
$200
4:10-5:00PM
$170
Art: STUDIO in a
SCHOOL (2-5)
3:00-5:00pm
Art: STUDIO in a
SCHOOL (PK-1)
3:00-4:30pm (we can
offer care until 5pm.)
Creative
Movement w/
Dancewave (PK-K)
3:10-4:00P M
Hip Hop with
Dancewave (K-1)
3:10-4:00P M
$170
3:10-4:00P M
3:10-4:00P M
$150
KinderMusic w/ Katie
(PK-K) $170
FRIDAY
$170
Choir w/ Urban
Children’s Choir
4:00-5:30pm
$170
Private Piano and/or
Singing** (1:1 or 1:2) w/
Katie (K-5) 4:00-6:00pm.
___4 30 mins $280
___4 45 mins $380
Group Piano w/ BMS
(1-2)
$170
Basketball with
Mr. Blatt tentative
(K-5)
$150
Group Piano w/ BMS
(1-2)
4:10-5:00PM
Make Me Laugh
w/ Beanstalk (K-1)
THURSDAY
4:10-5:00PM
Little Yogis
w/ Leah (PK-1)
WEDNESDAY
3:10-4:00P M
TUESDAY
5:10-6:00PM
MONDAY
$170
Capoeira w/ ACAI
(3-5)
Students who are signed
up for a 3pm class will be
provided with care and a
snack from 2:40pm-3pm.
Please contact:
[email protected]
with any comments,
questions, concerns or
accolades