Online Registration Form

Sassafras Contact, Medical, Emergency Information and Release Form
Choose all that apply
Please list 2 people
If you checked any of the boxes for any payment reduction, please email us at
Please include if your child is enrolled in special educational programs.
If you checked "no" please send them asap.
Note that this service has limited spaces, and is primarily geared to working parents.
Please check box to indicate that you have read and accept these terms and conditions.