Application

CHILD
Name of Child
Name of Child
Which program are you applying for?
Children must turn 2 by March 1, 2019 to enroll in our Nursery program. Children must turn 3 by Sept 1 2019 to enroll in our Children's Garden program. Children over the age of 5 by Dec 1, 2019 are eligible for the 5 day Children's Garden program, only. CHILDREN UNDER THREE BY DECEMBER 1: HOURS ARE 9.35 - 12.30.
Are you planning to enroll your child in our AfterCare program?
AfterCare is offered 4 Days a week ( Monday - Thursday) from 12.30 to 2.30 PM
Are you applying for Tuition Assistance?
Admission decisions are unrelated to Tuition Assistance decisions; however, Tuition Assistance applications should be filed immediately following the application for admission.
Gender
Parent/Guardian 1
Address
Address
Phone
Phone
Current Status of Parent
Business Phone
Business Phone
Parent/ Guardian 2
Name
Name
Address
Address
Phone
Phone
Business Address
Business Address
Business Phone
Business Phone
Current Status of Parent
Supplemental
Does your child have an existing or pending special ed., special need or IEP document?
Has your child been asked to withdraw from any of these? *