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Child Enrollment Application
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* Indicates required question
Email
*
Your email
Parent name(s)
*
Your answer
Child's name
*
Your answer
Child's date of birth
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Street Address
*
Your answer
City
*
Your answer
I would like my child added to the waitlist for the fall of
*
2023-24
2024-25
2025-26
2026-27
When beginning school in the fall my child will be
3 years old
4 years old
Clear selection
I'm interested in sending my child
Morning (8am-12pm)
Full Day (8am-3pm)
Clear selection
My child will also need
Before School Care (7am-8am)
Afterschool care (3pm-4:30pm)
Clear selection
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