Two Locations:

Conshohocken ~ 610-828-3193
Royersford ~ 610-792-8801


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Making a Positive Difference in the Lives of Children for 60 Years!
Season's Greetings! We wish you good health & happiness in 2009.
Registration Form

This is NOT a guarantee, it is only a request for a class.
NO class is confirmed until we check for availability.
This information will NOT be shared or distributed!

Click here if you prefer a printable registration form.

Use Location Schedule Information to fill-in this form.

Choose a Location*:
Conshohocken       Royersford

Parent's First Name*:
Parent's Last Name*:
E-Mail Address*:
In the form: you@isp.com
Street Address*:
City*:
State*:
Two Character
Zip*:
In the form: 19123
Home Phone*:
In the Form: (610) 555-1234
Cell Phone*:
In the Form: (610) 555-1234
WorkNumber & Extention:
Child #1 Name*:
Child #1 Date of Birth*:
In the form 01/01/01
Class Requested*:
Day of Class*:
Time of Class*:

Child #2 Name
:

Date of Birth:  
In the form 01/01/01
Class Requested:
Day of Class:
Time of Class:

Child #3 Name:

Date of Birth:  
In the form 01/01/01
Class Requested:
Day of Class:
Time of Class:

*- Required Information



Conshohocken • Plymouth Square Shopping Center • Conshohocken, PA 19428
Royersford • Parktown Plaza Shopping Center • Royersford, PA 19468