11500 Middle Fork Rd
Lincoln, NE, 68526
EMAIL: info@littletikesuniversity.com
PHONE: 402.483.1129
REGISTRATION

Student's Name:



Student's Birthdate:



Parent's Name:



Student's Residential Address:



E-mail Address:



Telephone:


Registration:


School Year (Monday/Wednesday/Friday PM)

*dates TBA for 2012
*dates TBA for 2012
Summer Camp (August Ready, Set, Go Preschool/Kindergarten prep camp) *dates TBA for 2012

Any Comments or Questions: