Education Days Registration Form

    1. Only those children enrolled in the program may attend education days on December 30 and/or January 2.
    2. Your child should bring a bag lunch including a beverage and any utensils needed. Please note: there is no refrigeration or warming facilities provided.
    3. If your child is enrolled and you must cancel for any reason, your registration fee is non-refundable unless a child on the waiting list can fill your space by the registration deadline. In the event the cancelled space is filled, a 50% processing fee will be deducted from your refund. All refund requests must be submitted in writing via email to: Please indicate Refund Request and the program name in the subject line. The Original Transaction will be refunded through the payment source. PLEASE NOTE: If a child is unable to attend a program and there is a current wait list, we will replace that child with the first person on the wait list. You may not make your own replacements if a child is unable to attend.
  • Please complete the following information (print legibly or type, please):

  • Please indicate the preferred contact person and phone number to call during Homeschool Day at WCNY.
  • I hereby register my child for the above mentioned WCNY program. I further understand that I must give the WCNY Education staff a two-week written notice to cancel this registration and if I fail to supply the two-week written notice, I will be responsible for the full payment of the session.
  • Emergency Contacts/Authorized Pick Ups (other than Parent/Guardian):

  • Please note: your child must be able to administer the proper medication dosage her/himself. Otherwise parent/approved guardian must be present to do so.
  • I have provided WCNY with any pertinent information which may assist WCNY program staff in caring for my child including but not limited to allergies, disability or limiting conditions, or emotional, developmental, or behavioral challenges. I agree to notify the WCNY Education staff immediately in writing of any changes in address, phone numbers, emergency contacts, or inability to attend by the registration deadline.
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