Application to Adams & Haack Studio 
September 2026 - June 2027 Enrollment Application
Email *
Child's name *
Child's date of birth *
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Child's age in September, 2026 *
Name of parent or caregiver *
Email *
Phone number *
Name of other parent or caregiver
Email
Phone Number
Home address
Please select which days you would like to enroll your child. 9:00am - 2:00pm
(Part-time spots reserved for young 2-year-olds):
 *
Required
Describe the overall personality of your child. Where does your child thrive? Where does your child seem less inspired? What are their likes and dislikes? *
Has your child had a formal developmental evaluation and/or do they receive services privately or through early intervention? Do you have concerns about your child’s development? Please elaborate. *
Does your child have any allergies?  *
Is your child able to use the restroom independently? If not, please specify what assistance they might need. *
Does your child have any daycare, preschool, or class experience? If so, please list and describe. *
Who currently provides your child with daily care? (parent/nanny/relative/specific daycare or preschool)? *
Please describe your child’s level of independence at home (i.e. gets dressed, puts shoes on, clears dishes, eats independently, cleans up toys, plays independently, falls asleep unassisted, etc.).
 *
If your child naps, what time do they typically nap? What time do they typically wake up? What is the latest you would want your child to sleep until? (If your child does not nap, please write N/A). *
Does your child fall asleep unassisted at nap? *
At Adams & Haack Studio, we care about community and connection. Please let us know why this program is appealing to your family. *
How did you find out about us? *
Thank you! You will be emailed upon review to schedule an in-person visit. In person visits will begin in October.

This visit will allow us to spend time with your child and enable you to get a feel of the program, ask questions, and establish whether Adams & Haack Studio is the right fit for your family. 
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