Sibling Application

Basic Information

Child's Name*

First Last

Birth Date*

Gender

Female
Male

Primary Contact Email*

Enter Email Confirm Email

Parent #1*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone*

Employer

Parent #2

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Employer

Attendance Schedule

Only select options that work for your family. You may leave second and third choice schedules blank.

Preferred Attendance Schedule

2 days (Th,F)
3 days (M,T,W)
5 days (M-F)

Second Choice Attendance Schedule

2 days (Th,F)
3 days (M,T,W)
5 days (M-F)

Third Choice Attendance Schedule

2 days (Th,F)
3 days (M,T,W)
5 days (M-F)

Siblings

Sibling #1

First Last

Gender

Female
Male

Birth Date

School

Sibling #2

First Last

Gender

Female
Male

Birth Date

School

Sibling #3

First Last

Gender

Female
Male

Birth Date

School

Your Child

Does your child have any allergies, serious or chronic illnesses or injuries?

Yes
No

Please describe allergies, serious or chronic illnesses or injuries

Is your child toilet trained?*

Yes
No

Does your child speak a language other than English?*

Yes
No

Which language?

What does your child most enjoy doing?*

What do you like to do with your child? (Please answer for both parents if applicable)*

Has your child attended other programs or been cared for by persons other than parents?*

Yes
No

If yes, in what setting (home, or elsewhere) and how many hours per week?*

What would you like your child to get out of this school experience?*

Is there anything else you would like us to know about your child?

Please attach a family photo

Max. file size: 256 MB.

Admission Application - Fee Waived

Basic Information

Attendance Schedule

Siblings

Your Child

Admission Application – Fee Waived

Basic Information

Attendance Schedule

Siblings

Your Child