Request Registration — BlueFish at the INN

* Email Darlene at lccdarlene@aol.com or request online assistance*

School Year Schedule: Fall, Winter, Spring I and II

To request registration online, please complete the form below:

Session

Parent's Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child1 's Name

First Name

Last Name

Child1's Date of Birth

YYYY

Child1's Level

Child1's Day and Time First Choice

Child1's Day and Time Second Choice

Child2's Name

First Name

Last Name

Child2's Date of Birth

YYYY

Child2's Level

Child2's Day and TIme First Choice

Child2's Day and Time Second Choice

Child3's Name

First Name

Last Name

Child3's Date of Birth

YYYY

Child3's Level

Child3's Day and TIme First Choice

Child3's Day and Time Second Choice