Online Registration for Summer 2008 (Richmond)

Dear Parent,

To register, please fill out the following information, then click the "Submit" button. We will send you an email with information on how to make payment online once your space in the class of your choice is confirmed.

Parent Information
Parent's First Name:
Parent's Last Name:
Email:
(must be valid)
Re-type Email:
Address:
City:
Postal Code:
Home Phone:
Cell Phone:
How did you hear about us?
I was referred by:
Promo Code:
(refer to ad)

Child Information
My Child is a  New Student  Returning Student
Child's First Name:
Child's Last Name:
Child's Gender:  Male  Female
Date of Birth:


Please list any special needs, allergies or other information of which we should be aware:

Course Selection

Please pick the course you would like to register for:

Course Name
Date
Time
Fee
Village

(2 - 18 months)

 Friday

(May 23rd to June 20th)

 10:30am - 11:15pm $110
Village

(2 - 18 months)

 Saturday

(May 24th to July 5th)

 11:30am - 12:15pm $110
Our Time

(18 months - 3 year-old)

 Friday

(May 23rd to June 20th)

 11:30pm - 12:15pm $110
Our Time

(18 months - 3 year-old)

 Saturday

(May 24th to July 5th)

 10:30am - 11:15pm $110
Family Time

(2 months - 7 year-old)

 Friday

(May 23rd to June 20th)

 12:30pm - 1:15pm one child $145
Family Time

(2 months - 7 year-old)

 Friday

(May 23rd to June 20th)

 12:30pm - 1:15pm two child $210
Family Time

(2 months - 7 year-old)

 Saturday

(May 24th to July 5th)

 12:30pm - 1:15pm one child $145
Family Time

(2 months - 7 year-old)

 Saturday

(May 24th to July 5th)

 12:30pm - 1:15pm two children $210


 I have read and agreed to the terms and policies

Your privacy is important to us. Your information will be used exclusively by the MagicBean Academy and will not be disclosed to any third parties.