Register
Child's Name*
Parents' Names*
Email*
Age & Grade Level*
Birthday*
Preferred phone*
Work phone*
Emergency Contact Name & Phone Number (other than parent)*
Gender Identity (Optional)
School your child attends & method of dismissal (car rider, aftercare, walker)?
Date
Gender MaleFemale
Is it OK to leave a detailed message on your voicemail? YesNo
You can pay using Venmo @Manda-Galin or Zelle using our email: contactus@healhtyhappyminds.net
We're not around right now. But you can send us an email and we'll get back to you, asap.