Please enable JavaScript in your browser to complete this form.Parent Name *FirstLastParent Phone Number *Parent Email *Child Name *FirstLastChild Classroom *CubsTeddiesKoala 1Koala 2Panda 1Panda 2Polar BearsBrown BearsBlack BearsKinder BearsCredit Start Date *Credit End Date *Reason for the creditPercent of Credit Applying100% to cover tuition for the entire periodOther % less than 100% to support the school as specified belowPlease specify the percentage of credit you are requestingSignature Clear Signature Submit Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)