Join Our Waitlist Child's Name * First Name Last Name Select One * What class is your child enrolling in? Infants 6-17mos. Toddlers 18- 24mos. Three's Must be Potty Trained. Infants Toddlers Two's Three's Four's Kindergarten Child's Birthday * MM DD YYYY Do you have another Child enrolled (or Children) enrolled in our school? * Yes No If Yes write name(s) and age(s). If not put N/A * Desire Start Date * Our School offers the following Schedule. Please indicate which days you would like your child to enroll in * Monday-Friday Monday, Wednesday and Friday Tuesday and Thursday Please Indicate Times Desired * Parent/Guardian Name * First Name Last Name Relationship to Child * Phone Number * (###) ### #### Email * Thank you!