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.

Buy submitting this form, you are accepting to be added to our mailing list of Prospective Parents where you will receive e-mails of our newsletter via Mailchimp.

Parent 1 Name *
Parent 1 Name
Parent 1 Phone
Parent 1 Phone
Parent 2
Parent 2
Parent 2 Phone
Parent 2 Phone
Home Address
Home Address
Child's Name
Child's Name
Child's DOB/due date
Child's DOB/due date
additional child
additional child
additional child's DOB
additional child's DOB