TOUR REGISTRATION FORM
Old Hill Children's Day School, Westport, CT
Enter First Name and Date of Birth for each child you are considering for enrollment
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How did you hear about Old Hill Children's Day School?
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Friend or Family Member
Pediatrician
Internet Search
Facebook
Other
Preferred Start Date
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Preferred Weekly Schedule
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Mon-Fri
Mon-Thu
Mon/Wed/Fri
Custom
Preferred Daily Schedule
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7:15am-6:00pm
8:00am-5:00pm
8:30am-5:30pm
Custom
If you chose "Custom" above, please enter your preferred weekly & daily schedule below
Family Home Address
*
Parent #1 Name
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First Name
Last Name
Parent #1 Phone Number
*
-
Area Code
Phone Number
Parent #1 Email Address
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Parent #1 Employer Name and Town/City of Workplace
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Parent #2 Name
First Name
Last Name
Parent #2 Phone Number
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Area Code
Phone Number
Parent #2 Email Address
Parent #2 Employer Name and Town/City of Workplace
SUBMIT
Should be Empty: