Rhymes & Reasons Application for Enrollment

687 Larch Avenue
Teaneck, NJ 07666
Phone: 201-836-4100
Fax: 201-836-3222
www.rhymesandreasons.com
Enter all dates in the format mm/dd/yyyy

Child

Please use the child's full name (example: use Joseph not Joe)
Gender *
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Parent or legal guardian

Second parent or legal guardian

Program selection

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Days per week *

Credit card

I authorize Rhymes & Reasons to charge my credit card $125.00 for the application fee.

Parent or legal guardian signature

Please enter your full name which serves as your electronic signature.
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