B & A Registration Form

Student's First name

Student's Last name

Student's Birthday

Month

Day

Year

Gender

Male

Female

Grade: Fall 2026/27 School Year

2nd Student's First Name

2nd Student's Last Name

Student's Birthday

Gender

Male

Female

Grade: Fall 2026/27 School Year

3rd Student's First Name

3rd Student's Last Name

Student's Birthday

Gender

Male

Female

Grade: Fall 2026/27 School Year

Parent's First Name

Parent's Last Name

Cell Phone

Home Phone

Street Address

City & Zipcode

Employer

Employer Phone

Email

2nd Parent's First Name

2nd Parent's Last Name

Cell Phone

Home Phone

Street Address

City & Zipcode

Employer

Employer Phone

Email

Enter any. special needs, allergies, or health concerns. Type N/A if not applicable.

List two people other than the parents for emergencies and who you authorize to pick-up your child(ren).

The adults listed below are authorized to pick-up my child(ren) from Edutainment Learning Center. All authorized adults will be required to show identification.

Authorized Person's First Name

Authorized Person's Last Name

Authorize Person's Cell Phone

Authorize Person's Home Phone

Authorized Person's First Name

Authorized Person's Last Name

Authorize Person's Cell Phone

Authorize Person's Home Phone

Choose Program

Before School Only: $90 Weekly Per Child ($5 Sibling Discount)

After School Only: $130 Weekly Per Child ($5 Sibling Discount)

Before & After School: $140 Weekly Per Child ($5 Sibling Discount)

School Child(ren) Attend

Start Date

Month

Day

Year

How did you hear about us?

Product

B & A School Registration Fee: 1 Child$99

B & A School Registration Fee: 2 Children$188

B & A School Registration Fee: 3 Children$277

By signing below, I acknowledge that I have read, understand, and agree to all Edutainment Learning Center parent policies and procedures.

I understand that weekly tuition is due every Friday in advance of the upcoming week. A $10 late fee per day will begin on Saturday for any unpaid balance. Any returned or unsuccessful payment will be subject to a $35 returned payment fee.

I understand that I am responsible for complying with all policies and payment requirements.

Within 72 hours of receiving your registration, you will receive an email from Edutainment Learning Center through our Parent Portal with instructions for completing the enrollment process.

Before your child may begin attending, automatic tuition payments must be set up through the Parent Portal, and the Tuition Agreement must be signed. Children will not be permitted to start the program until both requirements have been completed.

Upload Copy of Driver's License or State ID

IMPORTANT: Your child's registration is NOT complete and your space is NOT reserved until payment has been successfully processed. Completing this form without completing the payment does not constitute registration.

Please read our 2026/27 Parent Policies & Procedures

Signature

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9300 Livingston Rd, Suite B-100, Fort Washington, MD 20744

(301) 292-8588

contact@edutainmentlearningcenter.com

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Before & After School Club Registration