Weekday School Registration

Current Openings (this page was updated 5/25/2018)
Cribs class (born before 9-1-18)
3's class (3 years old as of 9-1-18)

Your Information

First Name:
Last Name:
Email:
Home Phone:
Cell Phone:
Work Phone:
Address:
Address 2:
City:
State:
Zip:
Comment:

Your Child's Information

Your Child's First Name:
Your Child's Last Name:
Your Child's DOB:
Estimated Start Date:
Days Requested:

Additional Child (optional)

Your Child's First Name:
Your Child's Last Name:
Your Child's DOB:
Estimated Start Date:
Days Requested:

Additional Child (optional)

Your Child's First Name:
Your Child's Last Name:
Your Child's DOB:
Estimated Start Date:
Days Requested:

Additional Child (optional)

Your Child's First Name:
Your Child's Last Name:
Your Child's DOB:
Estimated Start Date:
Days Requested:

Additional Child (optional)

Your Child's First Name:
Your Child's Last Name:
Your Child's DOB:
Estimated Start Date:
Days Requested: