Please select one option from SECTION I - First choice. Then select a waitlist option in SECTION ll. Spots are available on a first come first serve basis. Your spot is not guaranteed until after confirmation from Project Support.
SECTION I - First Choice *
Choose
WAITLIST ONLY
SECTION II - Second Choice, if first choice is not available *
Choose
First available (either 4 mornings or 4 afternoons)
No second preference
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Date of Birth (child must be 3 years old by August 31) *
MM
/
DD
/
YYYY
Child's Street Address *
Your answer
Child's City / State / Zip *
Required
Parent/Guardian Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Telephone (primary contact) *
(please put in "xxx-xxx-xxxx" format)
Your answer
Parent/Guardian Email Address (primary contact) *
Your answer
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