Please list your children's names, and how many weeks you'd like to enroll them for:* Please provide your contact information:* Please explain why you feel you need scholarship assistance to help determine eligibility. Applications are held in the strictest confidence.* Please select your request:* I would like to apply for a full scholarship. I would like to apply for a partial scholarship. If you select this option, please indicate above how much you agree to pay per session. I agree that all the information which I have provided is accurate. I further agree to adhere to the payment schedule agreed upon. Parent signature:* Submit Should be Empty: This page uses TLS encryption to keep your data secure.