Pre-Application

    Application Date:

    Requested Start Date:

     

     

    Child's Information:

    Child's Age

    Child's Birth Date

    Gender

     

    Parent's Name

    Parent's Address

    Cell Phone

    Cell Phone Carrier

    Home Phone

    Email

    Place of Employment

    Business Phone

    Parent's Name

    Parent's Address

    Cell Phone

    Cell Phone Carrier

    Home Phone

    Email

    Place of Employment

    Business Phone

     

    Applying to:
    Infants (6 weeks to 18 months)Toddlers (18 months to 3 years)Primary (3 - 6 years)Lower Elementary (6 - 9 years)Upper Elementary (9 - 12 years)

     

    I understand the below information:

    Application Fee: $150 (one time only and non-refundable)

    Note: Enrollment requires $100 annual enrollment fee. Receipt of this form does not guarantee enrollment. Enrollment will be confirmed based on classroom space, requested start date and prior applications. Enrollment status will be advised within 10 days of receipt of application. Please note that should you decline to enroll when offered your desired start date, you will be removed from the wait list and must reapply.

    My initials will stand as my signature for this form: