Child's Name *
Child's Name
Child's Birthdate *
Child's Birthdate
Child's Address *
Child's Address
Mother's Name *
Mother's Name
Mother's Preferred Phone Number *
Mother's Preferred Phone Number
Father's Name *
Father's Name
Father's Preferred Phone Number *
Father's Preferred Phone Number
Class Options *
Please check your first choice. All classes are 9:15am-12:15pm. Children must be toilet trained at the start of the school year.
Class Options 2nd Choice
Check your second choice if your child is a 3 or 4 year old