Enrollment Inquiry
If you're interested in our program, please tell us about yourself and your child. Due to current health guidelines, we can not offer you a tour at this time.
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Child's name: *
First and Last name
Is the child a boy or girl? *
Child's date of birth: *
Children need to be 2 years and 9 months old to attend the program.
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Preferred start date:
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Parent/ Guardian name: *
First and Last name
Primary Phone Number: *
Email address *
Street address *
street number, street name and apt number (if applicable)
Town *
Zip Code *
Best way to contact you? *
How did you hear about our program?
I understand that: *
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