SBC School Based Social Groups Re-enrollment for Currently Enrolled Students

  • Child Information

  • Parent Information

  • Child Information

  • I understand that I will have the option to pay at one time for the entire amount or pay weekly. I acknowledge and agree that Social Learning, LLC will charge my preferred payment method weekly for services for the dates scheduled only. I understand that the first payment is due prior to my child attending the enrichment group for the month. I understand that if payments are not received, my child will not receive services. I understand that there are no refunds for missed sessions and early cancellations will incur a 10% processing fee. Please note: You will be redirected to our secure payment processing platform to pay once you submit this form.
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