Tessellations Children's Center Application Form

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Please fill out this application separately for each child applying. Thank you!

Child - Legal First Name *

Child - Preferred First Name (if different)

Child - Last Name *

Child - Pronouns *

Pronouns are words that are used to refer to people without using their name, such as she, he, they, etc.

Child - Date of Birth *

Please note that all children applying to start in Fall 2024 must turn 3 by August 15, 2024 per our licensing requirements.

YYYY

Names & Ages of Siblings

Please select the population group or groups with which the student most closely identifies: *

Indigenous American or Alaska Native

Asian or Asian American

Black or African American

Hispanic, Latino, Latina, or Latinx

Middle Eastern or Northern African

Native Hawaiian or Other Pacific Islander

White

I prefer not to answer this question

Other:

Required

What school does your child currently attend, if any? *

How long has your child attended this school? *

How did you hear about Tessellations School? *

Check all that apply

Google Search

Facebook Ad

Facebook Group

Instagram

Yelp

Niche.com

Word of Mouth / Friend

Other:

Required

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