Clone of Little Learning 2021/2022 Admissions Application

Little Learning 2022/2023 Admissions Application

4 E. 81st Street, #1A, New York, NY 10028 | (917) 675-6837

www.littlelearning.com | admissions@littlelearning.com

Student Full Name*

First NameLast Name

Student Nickname (if applicable)

Student Date of Birth*

MonthDayYear

Student Gender*

FemaleMale

Parent Name #1*

First NameLast Name

Parent Name #2*

First NameLast Name

E-mail*

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Number*

Area CodePhone Number

Mobile Number*

Area CodePhone Number

Who referred you to Little Learning?*

Why would you like your child to attend Little Learning?

How would you describe your child (personality, interests)?

Please specify which preschool your child will be attending for the 2022/2023 academic year. If not applicable, please put 'N/A'.*

Below, please write the days and specific times (start & end) that your child will attend pre-school in 2022/2023. (Please write "unsure" if you do not know your schedule yet, or 'N/A' if not applicable).*

Is your child applying to Kindergarten for Fall 2023? If your child has a summer birthday and you have not yet decided whether he/she is applying out, please check "Undecided".*

YesNoUndecided

Do you anticipate your child requiring a nap in 2022/23?*

YesNo

Please note which Little Learning Program you wish to enroll in.*

Little Learning: Sprouts, Buttercups, BlossomsLittle Learning Toddler 2's Program (2x Weekly)

If your child will require a nap, please specify start and end times.

Please specify if there are children with whom you would like your child to be in class. Please note: we cannot guarantee all requests.

Admission Application Processing Fee*

Admission Application Processing Fee$40.00

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