Parent and Me Program Registration

2025 Registration

You are registering for a Parent and Me Program with Christopher Academy, located at 510 Hillcrest Avenue, Westfield, New Jersey 07090.

One adult, 18 years of age or older, must accompany your child for the full period of the program. The Program is a 6 week session from 9:30am-11:00am. Your registration will be complete upon payment of the non- refundable $150.00 tuition fee*

Tuition is fully refundable until September 1st.
After September 1st Tuition will no longer be refundable.

"*" indicates required fields

Step 1 of 4 - Student Information

Student Information

Child's Full Name*

First Middle Last

Child's Preferred Name

Birthdate*

Age

Please enter a number from 0 to 10.

Gender

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Information

Name*

First Last

Is address different than child's?

Yes, it's different

No, it's the same

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Phone*

Preferred Email*

2nd Parent/Guardian Information

Name

First Last

Is address different than child's?

Yes, it's different

No, it's the same

Current Address

If different from child's address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Phone

Preferred Email

The Program schedule will be held one day a week for 6 weeks from 9:30am-11:00am

Thursday, September 11
Thursday, September 18
Thursday, September 25
Thursday, October 9
Thursday, October 16
Thursday, October 23

(**Please note, the program will not be in session on Thursday October 2, for observation of Yom Kippur)

2025 Registration

Student Information

Parent/Guardian Information

2nd Parent/Guardian Information

Attending Permission

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