Interested? If you are interested in participating, please submit the information form below or send an e-mail to . You can also call us at 585-276-5099 to schedule a visit.

Get Info About Participating

E-mail:

Phone Number:

Parent(s) Names:

Child 1 Name:

Child 1 Date of Birth (mm/dd/yyyy):

Child 2 Name:

Child 2 Date of Birth (mm/dd/yyyy):

Child 3 Name:

Child 3 Date of Birth (mm/dd/yyyy):

Additional Comments:

back