Sign up - Workshare & Care Registration - Use Child's Name

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* First name

* Last name

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* Phone Number Add secondary Phone +

Secondary Phone

* Email Address

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Date of birth

* Parent/Guardian's name

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Monday (for 2 or 3 days/week)

Tuesday (for 2 or 3 days/week)

Wednesday (for 2 or 3 days/week)

Thursday (for 2 or 3 days/week)

Friday (for 2 or 3 days/week)

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* Contact Name

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Membership

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2 Days/week Workshare & Care (choose your week)

Duration
Access 2 sessions / week
Cost $107.00
Programs Workshare
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2 Days/Week Workshare & Care Membership (Recurring)

Duration 06/02 - 08/29
Access 2 sessions
Cost $200.00 / 2 weeks
Programs Workshare
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3 Days/week Workshare & Care (choose your week)

Duration
Access 3 sessions / week
Cost $160.00
Programs Workshare
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3 Days/Week Workshare & Care Membership (Recurring)

Duration 06/02 - 08/29
Access 3 sessions
Cost $300.00 / 2 weeks
Programs Workshare
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5 Days/week Workshare & Care (choose your week)

Duration
Access 5 sessions / week
Cost $250.00
Programs Workshare
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5 Days/Week Workshare & Care Membership (Recurring)

Duration 06/02 - 08/29
Access 5 sessions
Cost $450.00 / 2 weeks
Programs Workshare

Membership Documents

Medical Conditions

Known Medical Conditions

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Workshare & Care Registration - Use Child's Name

Member Details

Address

Contacts

Photo

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Membership

2 Days/week Workshare & Care (choose your week)

2 Days/Week Workshare & Care Membership (Recurring)

3 Days/week Workshare & Care (choose your week)

3 Days/Week Workshare & Care Membership (Recurring)

5 Days/week Workshare & Care (choose your week)

5 Days/Week Workshare & Care Membership (Recurring)

Membership Documents

Medical Conditions

How did you hear about us?

Account Password