Application for Enrollment

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Please fill out the form below to apply. If you are interested in printing the enrollment form and mailing it in, you can download the PDF forms here:

• Toddler/Preschool Program form
• After School program form
• Summer Camp form

Online Application for Enrollment Form

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Child Information

Name of Child(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Sex(Required)

Male

Female

Address(Required)

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Is your child currently enrolled in school? If so please tell us which school:

Parent/Guardian Information

Name(Required)

Email(Required)

Phone Number 1(Required)

Phone Number 2

Address

Same as child's address

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Add additional parent/guardian information?(Required)

Yes

No

Name(Required)

Email(Required)

Phone Number 1(Required)

Phone Number 2

Address

Same as child's address?

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Enrollment Information

How did you hear about us?

Online search

Friend

Alumni

Organization/School

Other

Name of person or organization who referred you:

Desired Date of Enrollment(Required)

MM slash DD slash YYYY

I wish my child to be enrolled in:(Required)

Toddler/Preschool Program

After School Program

Summer Camp

Toddler/Preschool Program - Select full time or part time(Required)

Full Time - Mon thru Fri (8:00 AM - 6:00 PM)

Part Time - Select days

Toddler/Preschool Program - Select Days(Required)

MondayTuesdayWednesdayThursdayFriday

Toddler/Preschool Program - Select Time(Required)

8:00 AM - 12:30 PM8:00 AM - 1:00 PM8:00 AM - 3:00 PM8:00 AM - 6:00 PM1:00 PM - 6:00 PM

After School Program - Select full time or part time(Required)

Full Time - Mon thru Fri (3:00 PM - 6:00 PM)

Part Time - Select days

After School Program - Select Days(Required)

MondayTuesdayWednesdayThursdayFriday

After School Program - Select Times(Required)

3:00 PM - 6:00 PM

Summer Camp - Select full time or part time(Required)

Full Time - Mon thru Fri (8:00 AM - 6:00 PM)

Part Time - Select days

Summer Camp - Select Days(Required)

MondayTuesdayWednesdayThursdayFriday

Summer Camp - Select Time(Required)

8:00 AM - 12:30 PM8:00 AM - 1:00 PM8:00 AM - 3:00 PM8:00 AM - 6:00 PM1:00 PM - 6:00 PM

Tour Date

MM slash DD slash YYYY

Parent/Guardian Signature(Required)

Application Fee

Application Fee(Required)

Note: The application fee is non-refundable.

Fee:

Billing Address(Required)

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Credit Card(Required)

Card Details

Cardholder Name

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