LVNS Application Form
Parent and Me Program & Preschool Program Application
Child's Date of Birth
Child's Gender Identity
Program of Interest (Please Check All that Apply)
Parent & Me (starting age 18 months, weekly class to be attended the year prior to starting preschool)
Yellow Group (starting age 2½ by September 1st to 3½)
Blue Group (starting age 3½ by September 1st to 4)
Red Group (starting age 4 by September 1st to 4!½)
Zoom School (ages 2.5 to 5, 3 classes per week)
Parent 1 - Name
Parent 1 - Email & Phone Number
Parent 2 - Name
Parent 2 - Email & Phone Number
Primary Home Address (Full Address)
Tour Date Attended/Intending to Attend
Names and Ages of Siblings who have Attended LVNS
Child's Ethnic Identity
Diversity is an important part of Little Village Nursery School's by-laws and we strive to create a diverse community across all racial and socio-economic backgrounds. This information is used along with a variety of other factors in the admissions process. Please indicate your child's ethnic identity or feel free to check "Prefer Not to Answer".
Prefer Not to Answer
Little Village Nursery School is a co-op preschool and parent involvement is essential to our community. In 1-2 sentences, please tell us what interests you and your family about a co-op preschool for your child.
Child’s Special Needs
Please indicate if your child requires special educational attention because of conditions such as physical, learning, speech, or visual handicaps; emotional or behavioral difficulties; chronic health impairment; allergies, etc.
$75 Application Fee
I will pay through PayPal by clicking on the "Donate" button on
I will mail a check made out to LVNS - 11827 West Pico Blvd., Los Angeles, CA 90064
Little Village Nursery School offers financial aid for the morning program to families who qualify. If you are admitted to the school, you can submit an application to the financial aid committee who makes all financial aid decisions.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Little Village Nursery School.