CHIPS Pre-registration application 2024-25
Please note that the CHIPS program is available to Chelmsford residents only.
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Child's Full Name *
Sex *
Date of Birth *
Parent/Guardian Full Name(s) *
Home Address *
Preferred Phone Number *
Preferred Email *
Have any of your other children attended CHIPS?
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Session Preference *
Preference for Number of Days *
2 Days ($120/mo)
3 Days ($175/mo)
4 Days ($230/mo)- four year olds only
First Choice
Second Choice
Does/did your child receive Early Intervention services? *
Does your child have any special needs *
If yes, please specify:
Other comments:
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