Date Format: MM slash DD slash YYYY
(home phone, work phone, email)
Please provide any important information about your child and family that would be helpful for us to know
including schedule, allergies, medications, and/or medical needs.
What are your child’s strengths? What are your concerns with your child’s development if any? What goals
would you like your child to be working toward?
- Documents and Fees that will be due at time of enrollment:
- $35.00 Application Fee
- Current copy of immunizations/immunization exemption letter
- First Tuition Payment
- Subsidy information, if eligible/applicable
- Child Admission Agreement
Please upload a current copy or an immunization exemption letter, if applicable
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