Enrollment Registration
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Email *
I am interested in attending: *
Required
Student Name *
Student Date Of Birth *
MM
/
DD
/
YYYY
Parent Phone Number *
Parent(s) Name *
I am interested in enrolling my child into the following classroom *
Which program are you interested in? *
Required
Have you complete an enrollment form on our Brightwheel App? *
How did you hear about us? *
Are you currently on our wait list? *
Is your child currently enrolled in a childcare or preschool program? *
If so, what is your main reason for looking elsewhere? (optional)
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What is your main reason(s) for considering The Edison Edison Early Learning Center?
Do you have any questions for our administrators at this time? If so, please list the best person to call/ phone number to during the hours of 8:30 am to 3:00 pm or email if you are not able to be reached during that time.
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