To hold your child's spot, provide the class tuition and the following information.

Payments can be made in person at our Grayslake clinic or cash/checks can be mailed to:
Pediatric Interactions, 15 Commerce Drive, Suite, 116, Grayslake, IL, 60030.

If you are interested in Insurance billing, please email kriciad@pediatricinteractions.com for more information and to see if your child qualifies.

If you have any questions or have trouble registering, please contact Ally Simpson at allys@pediatricinteractions.com or call 847-223-7433 X. 202.

Child's Name *
Child's Name
Child's Date of Birth *
Child's Date of Birth
Parent's Name *
Parent's Name
Phone *
Phone
Which Session are you registering for? *
Payment Preference *