Please complete this form and return it to the center. If there is no immediate opening, your child's name will be placed on the “waiting List”. We will notify you as soon as an opening occurs. At enrollment time, there will be a $50.00 non-refundable application fee and an annual $30.00 activity fee due. (Activity Fee non-refundable after 30/days from enrollment date).
No family will be discriminated against because of race, sex, religion or national origin. All information listed above is confidential.