* Required Information
Child's Information
Child's Last Name
*
Child's First Name
*
Date Of Birth
Month
*
October
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
30
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
*
Gender
*
Male
Female
Other
Is your child toilet trained?
Yes
No
Parent’s/Guardian’s Contact Information
Last Name
*
First Name
*
Relation to Child
*
Email
*
Cell Phone Number
*
Desired Program
Montessori Program: September to June
*
5 full days per week: Monday to Friday, 8:30 am to 4:00 pm
3 full days per week: Days to be determined, 8:30 am to 4:00 pm
2 full days per week: Days to be determined, 8:30 am to 4:00 pm
Before and After School Child Care: September to June
Before School Child Care: 7:30 am to 8:30 am
After School Child Care: 3:30 pm - 5:30 pm
Summer Program: July to September
5 full days per week: Monday to Friday, 6:30 am to 6:30 pm
3 full days per week: Days to be determined, 6:30 am to 6:30 pm
2 full days per week: Days to be determined, 6:30 am to 6:30 pm