Online Application

Child's Name *

First Name

Last Name

Gender *

Female

Male

Parent 1 Name: *

First Name

Last Name

Parent 2 Name:

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Please indicate the entry year next to the class for which you are applying (the ages are the September age): *

Tuesday-Thursday Class (9:00-1:00) (2yrs 7 mos to 3 yrs 5 mos)

Monday-Wednesday-Friday Class (9:00-1:30) (3yrs 6mos to 4 yrs 4 mos)

Pre-Kindergarten Class (M-F 8:30-2:00pm) (4yrs 5 mos to 5 yrs 4 mos)

Please check all that apply:

Sibling

Legacy