Purple Crayon Private Preschool Application (2019-2020 School Year)
Please complete the application below for the 2019-2020 school year.

If you would like to inquire about available spots for the current school year (2018-2019), email us at info@purplecrayonny.com or call us at (718) 232-1936.

Email address *
Parent Information
Parent's Name (Last, First) *
Your answer
Parent's Contact Number
Your answer
Address
Your answer
Child's Information
Child's Name (Last, First) *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Gender *
Please provide us with friends or family who were enrolled or are enrolled in Purple Crayon.
Your answer
If your child receives special therapy, check all that apply (i.e. speech/language therapy, occupational therapy, physical therapy, ABA therapy, special instruction)?
Program selection
Annual Tuition
Please select the class you are applying to. *
(For full day applicants only) If the Full Day class does not have any more spots, are you also applying for the half day class while you wait for an available full day spot?
(For half day applicants only) If you selected the half day class, please indicate how many days. Be aware the days will be consecutive days (i.e. Monday to Wednesday) and you will be notified of the days upon the offering of a spot to your child.
Are you interested in starting your child in the program over summer (July and August 2019)? *
Please use this section to provide us with any additional information you would like us to know.
Your answer
Finalizing your application
You're almost done! To finalize your registration, please submit your payment for the non-refundable $25 application fee. You can do this by going to the application page (http://www.purplecrayonny.com/private-preschool-application/). If you have any questions, please email info@purplecrayonny.com.
A copy of your responses will be emailed to the address you provided.
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