Preschool Enrollment Form - Wait pool
This form will add your child to our wait pool. If an opening becomes available we will contact you to see if you are still interested in the spot.
Child's Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Male
Female
Date of Birth
*
/
Month
/
Day
Year
Date
Parent/Guardian 1
This parent/guardian will be listed as the primary contact.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Email Type
Please Select
Personal
Work
Primary Phone
*
Please enter a valid phone number.
Primary Phone Type
*
Please Select
Cell/Mobile
Home
Work
Alternative Phone
Please enter a valid phone number.
Alternative Phone Type
Please Select
Cell/Mobile
Home
Work
Parent/Guardian 2
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Email Type
Please Select
Personal
Work
Primary Phone
Please enter a valid phone number.
Primary Phone Type
Please Select
Cell/Mobile
Home
Work
Alternative Phone
Please enter a valid phone number.
Alternative Phone Type
Please Select
Cell/Mobile
Home
Work
Contract Information
Please indicate the schedule of care your child will need on a weekly basis. This will be considered your contracted hours and you will be billed accordingly.
Start Date
*
At the start at the school year
As Soon As Possible
Other
Classroom: Please note, students must be 4 years old by September 1st in order to enroll in the 4-year old room. All students must be at least 3 years old to enroll.
*
3 Year Old Preschool (Turtle Room)
4 Year Old Preschool (Dolphin Room)
Days
*
5 days/week (Monday-Friday)
3 days/week (Monday-Wednesday-Friday)
2 days/week (Tuesday-Thursday)
Hours
*
Half Days (8:30-12:00)
School Days (8:30-3:00)
Full Days (max. 10 hour day between 6:30AM and 6:00PM)
Full Day Hours - Indicate the hours you wish your child to attend between 6:30am and 6:00pm. Limit 10 hours a day.
Is there anything else you'd like us to know about the start date or your schedule.
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