Application - English - Root for Kids


  • MM slash DD slash YYYY
  • (primary phone)
  • (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
  • Max. file size: 16 MB.
    Please upload a current copy or an immunization exemption letter, if applicable
  • This field is for validation purposes and should be left unchanged.
Flitch Creative Logo
watts logo