Parents Name *
Parents Name
Kids Name *
Kids Name
Kid's Birth Date *
Kid's Birth Date
Phone *
Does your household qualify for free or reduced lunch?
If accepted, we will ask for you to email us a document from the school that states your free or reduced lunch qualification. Email us at
We are unique in the fact that once accepted, you have the opportunity to continue on with us for as long as you would like. Unless we both feel this isn't the best fit.