Processing Fee is a non-refundable $30.

Please provide payment via mail or in person no later than one week after submitting the form or your form will be discarded. Cash or check only. (Please make checks payable to Smarties Academy LLC.)

There will be a fee of $35 for every bounced check.

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Parent Name *
Parent Name
Parent 2 Name
Parent 2 Name
Home Address
Home Address
Child's Name
Child's Name
Child's date of birth/due date *
Child's date of birth/due date
Additional Child's Name
Additional Child's Name
Additional Child's date of birth/due date
Additional Child's date of birth/due date