Application for 2023-24 (Before and After School Program)
Thank you for your interest in Rothschild Early Childhood Center! We currently have a waiting list for the 2023-24 school year.  You may be placed on the waiting list by completing the application below and submitting the non-refundable application fee of $25 per child via check in the mail or credit/debit/check online via the payment portal on our website. If you are interested in starting during the 2023 Summer Session (July and/or August), there is a section below to apply and a separate non-refundable application fee of $15 per child.

Once we have your application and the fees, we will process your application and add you to the waiting list. We hope to notify you of your place on the waiting list or a confirmed spot via email in April 2023.  Please notify us of any changes to your needs in the meantime by emailing enrollment@adath.org. 
Sign in to Google to save your progress. Learn more
Email *
Child's Last Name *
Child's First Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Program Needed *
Days Needed *
If you choose "Other" for Days Needed, please specify below:
Anticipated Start Date *
MM
/
DD
/
YYYY
Which school your child will be attending in September 2023? *
Grade your child will be entering in September 2023? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Adath.org.

Does this form look suspicious? Report

Google Forms