Application

Child's Name *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

Parent/Guardian's Name *

First Name

Last Name

Which Program are you interested in? *

Preschool

Kindergarten

Which class sessions are you interested in? *

Fall

Winter

Spring

School Year

Which days are you interested in? *

Monday

Tuesday

Wednesday

Thursday

Friday

Full week

Whatever is available

What class session would you prefer?

Morning (9 -12)

Morning including lunch (9 -1:30)

Whatever is available

How many days are you interested in? *

1

2

3

4

5