CHCPS Information Form
Capitol Hill Cooperative Play School is able to host three playgroups in the nursery of The Lutheran Church of the Reformation. Each group is insured to host 12 children. To participate, a child must be age 2 by December 31 of the year in which they are applying.

Constraints on space require CHCPS to hold a lottery in the spring to fill each group for the fall. To attend the lottery, please complete this information form and submit a non-refundable administration fee of $25 by the last Friday in March. An email will be provided with the date of the spring lottery.

Please make checks payable to CHCPS and write your child's name on the check. They can be dropped off during playgroup hours (M-F 9am to 12pm), or mailed to the church. 212 East Capitol St NE

If all play group spots are currently filled, your family will be added to a waiting list. If families leave, invitations to new families will be extended from this list.

Thank you for your interest in the coop!

Email address *
Child's Name *
Your answer
Date of Birth *
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/
DD
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YYYY
Parent's Name *
Your answer
Phone *
Your answer
Address *
Your answer
Are you a returning family?
Would you like to be added to the mid-year waiting list or the lottery? *
Terms: By checking the box below, I confirm my understanding that if my child is enrolled, I am committing to assist with supervision of the playschool approximately 2-3 times a month and to volunteer other times as required by the CHCPS bylaws (currently an additional 3hrs per year). *
Required
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