Name *

First Name

Last Name

Child's Name *

First Name

Last Name

Child's Birthdate *

MM

DD

YYYY

Phone Number *

(###)

###

####

Requested Start Date *

Beginning of next school year (late August)

School Location (please choose 1) *

Cutler Lane closes at 3:00, Gordon Avenue closes at 5:30

631 Cutler Lane

1602 Gordon Avenue

Length of School Day (please choose 1) *

Morning Only: 8:30am-12:00pm

Extended Day: 8:30am-3:00pm

Full Day: 8:30am-5:30pm (Gordon Ave. Only)

Classroom

Toddler (ages 21 months- 2yrs. 9 months at beginning of school year)

Primary (ages 2ys. 9 months- 5 years at beginning of school year)