Registration Form

Child's First name

Child's Last name

Parent's Email

Child's Date of Birth

Please select the desired class for your child.

Please select the desired time for your child.

Street Address

City

State

Country

Postal Code

Mother's First and Last Name

Mother's Cellphone Number

Father's First and Last Name

Father's Cellphone Number

Child's Doctor's Name & Phone Number

If your child has any allergies, please list them below

List the Names & Phone Numbers of all People to Contact if Parents Are Not Available

If you'd like to sign up for Early Drop-Off or Late Pick-Up for an additional charge, please list the times below. Please note the earliest you can Drop-Off is 8am and the Latest for Pick-Up is 5pm.

Registration Application

Enrollment for 2024-2025 Academic Year