Registration
2020/2021
Email address *
Child's First Name
Your answer
Child's Last Name
Your answer
Date of Birth
Your answer
Gender
Does your child have any allergies:
If yes, please explain allergies
Your answer
Is your child on a regular or delayed immunization schedule? We require proof of vaccinations prior to acceptance.
First Parent/Caregiver Name
Your answer
First Parent/Caregiver email address
Your answer
First Parent/Caregiver phone number
Your answer
Second Parent/Caregiver Name
Your answer
Second Parent/Caregiver email address
Your answer
Second Parent/Caregiver phone number
Your answer
Street Address, City, State, Zip Code
Your answer
Select age appropriate class below
Do we have permission to take your child's picture and share photos on social media?
I agree to pay the $75 (toddlers, two's, three's, four's) $125 (Kindergarten) registration fee to secure my child's spot for the 2019-2020 school year.
A copy of your responses will be emailed to the address you provided.
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