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Parent/Guardian Information

Parent's First name

Parent's Last name

Parent Email

Parent Phone

Address

Country/Region

Address

City

Zip / Postal code

Child Information

Child's Name

Child's Birthday

Month

Day

Year

Child's Age at Registration

School Child Attends (if applicable)

How did you hear about us?

Attendance Information

Start Date:

Program(s) of Interest:

Homeschool Daytime Wellness Circuit

After-School Wellness Circuit (with tutoring)

After-School Wellness Circuit (without tutoring)

One-on-One Tutoring*

Private Tutoring

Summer Wellness Circuit

Summer 3-day mini sessions

*If enrolling in tutoring, please list subject(s) of focus:

KidCove - Youth Program Policies

Payment Policy

I understand and agree to pay all program fees prior to services being rendered. If payment is not made on time, a $5 late fee may be applied per day.

Accepted payment methods: Cash, Check, Credit Card, Venmo.

Payments must be made prior to service.

Payment Method:

In person (cash, check, or card at center)

Online payment or Venmo

Credit card securely stored on file

Program Hours

I understand that I must respect the scheduled hours for each specific program.

Absence & Cancellation Policy

Parents/guardians must notify KidCove by call, text, or email if their child will be absent.A minimum of 24-hour notice is required for cancellations to avoid a service fee.

By signing below, I acknowledge that I have read, understand, and agree to all KidCove policies and participation agreements

Signature

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I confirm that I have reviewed all KidCove policies.