Enrollment Inquiry Please use this form to share more about your needs with us. Also, use this form to allow us to schedule a tour of our facility with you. Name First Last What is your email address?* What is your phone number?*What program(s) are you interested in finding out more information about?* Infants (6 weeks - 12 months) Transitional Nursery (12 months - 24 months) Toddler (2 years - 3 years) Preschool (3 years - 4 years) PreKindergarten (4 years - 5 years) Extended Day (Kindergarten - 5th Grade) Summer Camp (Children who have finished Alternative Kindergarten-5th Grade) What is your child(ren)'s names?*Child #1Child #2Child #3 What is your child(ren)'s birthdate?*Child #1Child #2Child #3 Anticipated date that child care is needed* MM slash DD slash YYYY
