Chabad DC Preschool Interest Form

Chabad DC Preschool Interest Form

Thank you for your interest! Please fill out the questions below, so we can keep you updated on this exciting new initiative!
Parent Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Which neighborhood do you live in?*
Age of child on October 1, 2023*

3-6 months6-12 months12-24 months24-48 monthsOther
What is your ideal start date?*

October 2023January 2024August 2024
Interested in? (Please select all that apply)*

Half Day Program (9-12)Full Day Program (9-3)Extended Hours (7:30-6)
Do you have any questions?
Would you like to receive information regarding the in-person information session on August 23, 2023?*

YesNo
Should be Empty: