Applicant Information

    Home/Mailing Address

    Language Spoken At Home

    Current School Experience

    Religious Affiliation Or Preference

    I Would Like To Enroll My Child In

    Regular Day: 7:30am - 2:30pm
    I also need
    Before School Care: 7:00am - 7:30amAfter School Care: 2:30pm - 5:30pm
    Morning Program: 7:30am - 11:30am 5 days (Monday - Friday)All Day Program: 7:30am - 2:30pm 5 days (Monday - Friday)

    Family Information

    Parent A

    Address

    Parent B

    Address

    Family Members Who Are Alumni

    Guardian Names

    Agree

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