Guardian 1 Name *

First Name

Last Name

Child Name and Pronouns *

First Name

Last Name

Child DOB *

MM

DD

YYYY

Location *

Park Slope (428 7th Ave) - Saturdays only

Carroll Gardens (67 Woodhull St) - Thursdays & Saturdays

Desired Drop In Date *

MM

DD

YYYY

Onsite caregiver *

A caregiver is required to stay in for the duration of the playgroup.

AGREED

Household Income *

For equity in access, we charge drop in rates according to HH income

Less than $50K: $20

$50K-$150K: $30

Above $150K: $40