Enrollment Interest Inquiry
Please complete the information below so we can best determine our enrollment availability based on your child's care needs! This form can be used for our Preschool, Kindergarten, After-TK, & After-Kinder Programs. The more information you can provide us the better to help us understand your care needs and wants.

Thank you,
My Little Orchard School

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Email *
Parent/Guardian Name *
Phone *
Child's Name *
Child's Date of Birth *
Gender *
Which program(s) are you interested in enrolling in? *
Required
Would You Like To Schedule A Tour? *
Projected Start Date *
MM
/
DD
/
YYYY
What days of the week are you seeking care? *
Required
Which Programs are you interested in? *
Required
Previous Student? *
Referred? If so, by who? *
Dietary restrictions *
Is Your Child (Check All That Apply)

*Note: Our school considers Potty Trained to include all of the below items without adult assistance
 *
Required
Any Questions?
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