Notes (Admin only)

Child Information

First namerequired

Last namerequired

Gender*

Male Female Other

Date of birthrequired (mm/dd/yyyy)

Parent/Primary Guardian Information

First namerequired

Last namerequired

Address 1required

Address 2

Cityrequired

Staterequired

Ziprequired

Home school (Admin only)

Preschool location (Admin only)

Phonerequired

Email addressrequired

Preschool Location: Based on your home address, we will assign your student to the correct preschool location.

Our preschools will be at the following locations for the 2022-23 school year:

(Locations subject to change prior to school starting in September.)

Session Preference - First choice*

AM (10 a.m. - 12:30 p.m.) PM (1:30 - 4 p.m.) No preference

Session Preference - Second choice*

AM (10 a.m. - 12:30 p.m.) PM (1:30 - 4 p.m.) No preference