NEW Student Application Form 2019-2020 School Year
Welcome to LCYC and thank you for your application. Please complete the form below to let us know which class you would like to enroll you child in this fall. The application fee for each new student application is $75.00. You will receive an invoice for that amount via email from us within 24 business hours of submitting your application. The email will come from: "Learning Center for Young Children <quickbooks@notification.intuit.com>” please check your spam folder. Applications are not complete until the application fee is paid. Payment may be made by credit card and bank transfer online or by check or cash in person. No payment information is asked for on this form. Once class assignments are made you will be emailed an enrollment offer or a wait list notification. Please return the signed enrollment offer to reserve your spot for the fall.

View the 2019-2020 TUITION AND FEE SCHEDULE here: http://www.warnermemorial.org/uploads/Tuitionschedule19_20F.pdf

The Learning Center for Young Children
lcyc@warnermemorial.org
301-949-2933

Email address *
Child's Name *
Your answer
Morning Class (9:15 AM - 12:15 PM) and co-op option desired:
Please select one co-op option next to your desired class
Standard Co-op
Limited Co-op
No Co-op
2 Year-Old MWF - WAIT LIST
2 Year Old TTH - WAIT LIST
3 Year-Old MWF
4 Year-Old M-Th with 5th day Option- WAITLIST
Extended Day Class (12:15 PM - 2:30 PM)
No Co-op
Monday 12:15 PM-2:30 PM
Monday *Music & Science (4 year olds) 12:15 PM- 2:30PM
Tuesday 12:15 PM-2:30 PM
Wednesday 12:15 PM-2:30 PM
Thursday 12:15 PM-2:30 PM
Friday 12:15 PM-2:30 PM
Child's Birth Date *
MM
/
DD
/
YYYY
Child's Address *
Your answer
Home Phone *
Your answer
Parent 1 Name *
Your answer
Parent 1 Email Address *
Your answer
Parent 1 Address if different from child's
Your answer
Parent 1 Occupation/Employer
Your answer
Parent 1 Cell Phone *
Your answer
Parent 2 Name *
Your answer
Parent 2 Email Address *
Your answer
Parent 2 Address if different from child's
Your answer
Parent 2 Occupation/Employer
Your answer
Parent 2 Cell Phone Number *
Your answer
Others living in the home (grandparent, nanny, etc.)
Your answer
Where would you like to receive your monthly invoice? *
Where do you want to receive school communications? *
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