St. Teresa Education and Early Learning Center Family Information & Tour Request Form

St. Teresa Early Learning Center Family Information & Tour Request Form

Please provide your family's information and request a tour. All families are welcome in our program.
Family Name*
Primary Contact Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Ethnicity
Child 1 First Name
Child 1 Last Name
Child 1 Birthdate

MonthDayYear
Child 1 Gender

MaleFemale
Child 2 First Name
Child 2 Last Name
Child 2 Birthdate

MonthDayYear
Child 2 Gender

MaleFemale
Child 3 First Name
Child 3 Last Name
Child 3 Birthdate

MonthDayYear
Child 3 Gender

MaleFemale
Enrollment is open to all families without regard to race, color, creed, religion, national origin, gender, or disability. We do require a visit with your child before finalizing enrollment to ensure we can meet their needs here at St. Teresa Early Learning Center. Additionally, a second tour may be scheduled closer to your child's start date or upcoming birthday to support their transition and ongoing development.
Religion
Should be Empty:

St. Teresa Early Learning Center Family Information & Tour Request Form