Leaps and Bounds Sensory Preschool: WAITLIST Form
WE ARE CURRENTLY FULL AT THIS TIME- PLEASE COMPLETE THIS FORM IF YOU ARE INTERESTED IN BEING PLACED ON OUR WAITLIST

We are currently only accepting applications for children for the 2020-21 school year.
Email address *
First and last name (person filling out this form) *
Address *
Phone *
Relationship to child *
First and last name of child *
Is your child currently enrolled in another program? (Please include what program if applicable) *
Child's date of birth *
MM
/
DD
/
YYYY
Child's Preferred Gender *
Required
What year will your child be attending kindergarten? *
What preschool(s) or programs has the child attended in the past? *
What kindergarten/elementary school(s) are you considering sending your child to? (separate schools with commas) *
Does your child currently or previously attend any type(s) of therapy services? *
If you answered yes above, please tell us what type(s) of therapy (occupational, speech, physical, etc) below and for how long.
Why are you interested in having your child attend a sensory and social-emotional based preschool? *
How did you hear about Leaps and Bounds Preschool?
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