Student First Name *

Student Last Name *

Grade * Select Grade 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Checkout Preference * ---Select Checkout Preference--- Self Checkout Parents Pickup Escort to onsite daycare

Notes for Teacher

---Select --- Facebook Radio Ad Google Search LinkedIn Peach Jar School Communication Emails Referred by Current Student

Coupon Code

Coupon Code

Payment
One-time Payment Plan: $266 (Early Bird Discount of $20 until 09/01/2019)

Installment Payment
Installment Plan: First Installment (Pay Now): $135 (Early Bird Discount of $20 until 09/01/2019), 1 equal monthly installments of $155 starting 10/03/2019. Installment amount would be automatically charged to your credit card every month for 1 months.