CHIPS Pre-registration application 2026-27

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Please note that CHIPS is open only to Chelmsford residents. Priority for 4 day spots is given to 4 year olds.

UPDATE 3/10/26- We only have PM availability at this time.

Email *

Child's Full Name *

Sex *

Male

Female

Prefer not to say

Other:

Date of Birth *

YYYY

Parent/Guardian Full Name(s) *

Home Address *

Preferred Phone Number *

Preferred Email *

Have any of your other children attended CHIPS?

Yes

Clear selection

Preference for Session *

2 Days PM ($120/mo)

3 Days PM ($175/mo)

4 Days PM ($230/mo)- 4 year olds

First Choice

Second Choice

Does/did your child receive Early Intervention services? *

Yes

Does your child have any special needs *

Yes

If yes, please specify:

Other comments:

A copy of your responses will be emailed to the address you provided.

Submit

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