HSCNS - Application for Admission

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A non-refundable application fee of $25 per child must accompany this form in order to be entered in the lottery of your desired class(es). Fees may be submitted by check made out to HSCNS and mailed to: 92 Huguenot Street New Paltz, NY 12561 with your child's name in the memo or electronically here: https://www.huguenotnurseryschool.org/paymentsdonations

Child's Name: *

Name(s) of Guardian(s) *

Address *

Phone Number *

Email Address *

Child's Date of Birth *

YYYY

Please select desired enrollments below: *

2's (Tue/Thu: child must be 2 by December 1st)

2/3 Mix (Mon/Wed/Fri: child must be 2 1/2 by December 1st)

3/4 Mix (Tue/Th: child must be 3 1/2 by December 1st)

3/4 Mix (Mon/Wed/Fri: child must be 3 1/2 by December 1st)

3/4 Mix (5 Days: child must be 3 1/2 by December 1st)

Required

How did you hear about us?

E-Signature and Date: I understand that by submitting this form I am entering my child into a lottery for a position in the selected class(es) at Huguenot Street Nursery School *

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