Enrollment Application
Sign in to Google to save your progress. Learn more
Email *
Date of application: *
Guardian 1 Name and Email *
Guardian 2 Name and Email  *
Child's Full Name *
Child's Birthdate *
MM
/
DD
/
YYYY
Which program are you applying for? Pick all that apply. *
Required
Are you interested in extended care (limited spots available)? *
Are you interested in the morning shuttle service that meets at 810 am that meets near Exit 21 on HWY 26 (limited spots available)? *
Are you interested in joining a carpool with other families in your neighborhood? *
If you are wanting extended care, please state what hours you want and/or if you are looking for a carpool please state what neighborhood you live in. *
Preferred start date?  *
MM
/
DD
/
YYYY
Who referred you to The Children's Garden? *
Previous school/learning experience? If yes, please describe. *
What is the primary goal you have in enrolling your child in The Children's Garden? *
What are the most important things you are looking for in a learning environment for your child? *
We have a small number of work-trades in exchange for partial contributions for families in need. If you are a family on low income and interested in a partial work trade please write about your situation, what skills you would like to offer, what hours and days you would be available, and the going rate for your skills based on your professional experience? Examples of skills needed are: handy person work, gardening/landscaping help, special skills teacher (Spanish, Art, Music etc), schoolhouse cleaning, technical assistance, bodywork for hardworking teachers... *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report