Enrollment and Waiting List Form
The Children’s House is open Monday – Friday 6:30 AM – 6:00 PM
Preschool curriculum starts at 8:30 AM
All students must be dropped off by 9:30 AM

Please fill out the following information for each child.
Child's Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Parent Name(s) *
Email *
Cell Phone *
Address *
Which program will your child be attending?
Clear selection
Which days will your child be attending? These must be set days. *
Required
Is there anything else about your schedule we should know?
Are you a Medpace Employee? *
Submit
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