Enrollment Application:

Applicant Info:

This is what we'll use to reach out to you about this application.

Your Name *

Your Contact Email *

Allow school to send emails regarding this application.

Your Phone # *

Students:

Student First Name *

Student Last Name *

Options:

Kindergarten Readiness

$850.00

Ages: 4-5

Tue, Thu

1p-4p

6/25/2024 to 8/8/2024

Student Contact Email *

Student Phone Number *

Student Gender *

Select Gender

Student Birthday

Student Upcoming Level *

Select Levels

New Or Returning Student *

Select Level

Student Disabilities *

Student Special Needs *

Student Allergies *

Student Dietary Restrictions *

Student Medications *

Guardians:

Guardian First Name *

Guardian Last Name *

Guardian Phone Number *

Guardian Email *

Guardian Relationship *

Family:

Family Last Name *

Family Email *

Family Primary Phone Number *

New or Returning Family *

Select Level

Family Address *

Emergency Contacts:

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number *

Emergency Contact Email *

Emergency Contact Relationship *

Additional Information:

How Did You Hear About Us *