Enrollment/Waitlist Application

Enrollment/Waitlist Application
Child's Name

First NameLast Name
Sex
Child's Birth Date*

MonthDayYear
Date
Parent Name

First NameLast Name
Email*
example@example.com
Parent Phone Number*
Please enter a valid phone number.
Desired start date

MonthDayYear
Date
What is your desired schedule?
All schedules are 5 days per week
Half time 9:00am - 1:00pm Class time 9:00am-3:00pm Full time 7:30am-5:00pm
List your child's previous school/community experience:
List your child's siblings and their ages:
Is there anything else that you would like to share with us about your child?
Should be Empty: