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Children's House Form of Interest
This program is for children ages 2.7 year to 6 years old. All children in this program must be toilet independent.
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* Indicates required question
Email
*
Your email
Parents' Full Name
*
Your answer
Child's Full Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Schedule
5-Day Half-Day (Monday-Friday, 8:45 am - 11:45 am)
5-Day Half-Day with Aftercare (Monday-Friday, 8:45 am - 3:30 pm) *includes Nap
5-Day Full-Day Montessori (Monday-Friday, 8:45 am - 3:30 pm)
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Is your child toilet independent (toilet trained)?
*
Yes
No
Working
Allergies:
Your answer
Will your child require before/after care? (7:00-8:30/3:30-5:30)
*
Before Care (7:00 - 8:30 a.m.)
After Care (3:30 - 5:30 p.m.)
Both
Neither
Additional Comments
Your answer
A copy of your responses will be emailed to the address you provided.
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