To guarantee a place, a NON-REFUNDABLE DEPOSIT OF $150 PER CHILD IS DUE ONCE THIS APPLICATION IS FILLED OUT.
Upon submitting the application, you can pay by credit card thru Paypal, or mail in your deposit.
Please use a new application for each child.
If you prefer, print, scan and return to us by email:firstname.lastname@example.org OR by mail:
Medical & Transportation Authorization
OR mail to:
The Learning Institute c/o Registrar
PO Box 186 Goldens Bridge, New York 10526