Application for La Escuelita Summer Program 2019
Please fill this application out to apply for the 2019 Summer Program. We are offering a Mixed Age Half Day Program (9AM-12PM) for children ages 3-5 from July 8- July 26. We are limited to 16 spots per week this year. Admission priority will go to current and former LE students and those committing to all three weeks.

You will receive notification of your child's acceptance by March 29, 2019, at which point payment will be due in full. Refunds will only be considered if the session is fully enrolled and your child's spot is immediately filled. Make-ups will be considered on a case-by-case basis, space permitting.

Any questions? Please email Kelley.Grant@LaEscuelitaNYC.org

Child's Full Name
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Child's Birthdate
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Child's Gender
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Parent 1 Full Name
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Parent 1 Address
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Parent 1 Home Phone
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Parent 1 Cell Phone
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Parent 1 Work Phone
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Parent 1 Email Address
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Parent 2 Full Name
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Parent 2 Address
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Parent 2 Home Phone
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Parent 2 Cell Phone
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Parent 2 Work Phone
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Emergency Contact
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Emergency Phone
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Langauges Spoken at Home
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