Le Jardin Shine on Stage Spring 2019 Le Jardin Shine on Stage Spring 2019 Please fill out the form below to complete registration. Payment is due by 1/11. Mahalo!Student Name* First Last Grade*Is your child enrolled in Extended Day?*YesNoParent/Guardian* First Last Parent/Guardian Phone*Parent/Guardian Email* Enter Email Confirm Email Any Health Concerns to be aware of?Shine on Stage Classes*Shine classes will meet MONDAY AFTERNOONS *DATES FOR CLASS: 1/28, 2/4, 2/11, 2/25, 3/4, 3/18, 4/1, 4/8, 4/15, 4/22, 4/29, 5/6, 5/20 (13 CLASSES)Shine on Stage for K-2 Grade from 3:00-4:00Shine on Stage for 3-6 Grade from 4:05-5:05*A gentle reminder that 3-4th graders who are not in the extended day program cannot be left unsupervised on campus before the 4:05pm class.*Please note that payment is for the full session with no drop ins. Once class has begun, there are no refunds or pro-rated amounts. Session must be payed for in full on or by January 11th. Mahalo!Payment Type*Credit CardCheckCashCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Payment is due by January 11th. Please mail check or cash payment to: Sarah Halford PO Box 1397 Kailua, HI 96734Total $0.00 Pick Up Procedure*Please fill out the pick up option for your child for after class. If this option changes, you can always email email@example.com.Due to the back to back class schedule, please ensure that grades K-2 children are picked up promptly at 4:00 -- Both classes have a 10 min max pick up window- after that a late charge will occur. If you are delayed, please text me at 808-721-2205. Mahalo!My child should be dropped back at Extended DayMy child should walk to the loop for pick-upLOOKING FORWARD TO SHINING WITH YOU!