Please use the attached link to reserve your spot on the wait list for 2012-2013!    hkidsclub@gmail.com

If accepted to Highlands Kids Club please mail in the form below:

Participant Last name________________First name_______________

Grade____________   Age________

Parent First Name_______________ Parent Last Name __________________      

E-mail_____________________________________________________

Mailing Address:____________________________________________

City/State/Zip:_______________________________________________

Home Phone:______________________Cell:__________________________

Registration Fee:  $200.00  ($100.00 one time registration fee, (non-refundable)$100.00 credited against first months tuition)

Please print this page and mail in the completed form with the check to:

                                                                          Carrie Jamison

  1957 23rd PL NE #301

  Issaquah, WA 98029

Make Checks payable to:  Highlands Kids Club

You will receive an email confirmation and your child's spot will be reserved once registration is received. A formal registration process will follow.