Mancos Early Learning Center 2020-21 Spring Enrollment
Please fill out this form if you plan on enrolling your child next year. Children must be 3 years old by 8/31/2020. Once we receive your form we will be in touch and keep you posted on new and updated information regarding the upcoming school year.
Email address *
Parent/Guardian Name (full) *
Your answer
Phone number *
Your answer
Email *
Your answer
Address *
Your answer
Mailing address if different than above
Your answer
Child's Name (first, middle, last) *
Your answer
Child's date of birth *
MM
/
DD
/
YYYY
Gender *
Race *
Ethnicity *
Language spoken in home (list all) *
Your answer
Do your have any concerns about your child?
Your answer
Does your child have an Individual Education Plan (IEP) or Individual Family Service Plan (IFSP)? *
Is your child potty trained? (not required, just helpful to know) *
Does your child have any health/medical issues we should know about? *
Your answer
Will you be in need of funding to help pay for your child to attend the MELC? *
To help determine which funding might be best for your family, what is your gross (combined) income from 2020?
Your answer
Would you need half or full day care *
Required
Which Days would you want your child to attend (no school on Friday's) *Funding requires your child attend 4 half days, all other day are tuition only. *
Required
If we had to divide days/times for social distancing which would work best for you? *
Required
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