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☐ 2022-2023
☐ Summer 2023
☐ 2023 - 2024
Children attending full days must bring their lunch from home.
☐ 4 Half Day Mornings M-Th: 8:30-11:30am ($453/month)
☐ 5 Half Day Mornings M-F: 8:30-11:30am ($530)
☐ 4 Full Days M-Th: 8:30-3:15pm ($655/month)
☐ 5 Full Days M-F: 8:30-3:15pm ($775/month)


☐ M
☐ F

Parent / Guardian 1

Parent / Guardian 2

List other adults who are authorized to pick up your child.
First NameLast NameRelationshipPhone NumberAddress

Background information

Please list every school that your child has attended

Tell us about your family

Two parents, mother only, father only, grandparents, etc.
Joint custody arrangements? Does child have contact with both parents?
e.g. divorce, separation between parents, illnesses, hospitalizations, birth of a sibling, death in the family, moves, etc.

Tell us about your child

Does your child have any hobbies, sports, or special interests, capabilities or talents?
Are there any areas in which we may be able to give special help and encouragement to your child?
Please describe your child's educational experience thus far. What has been successful? What has been challenging?
Does your child co-sleep? What time do they go to bed/wake up? Do they get up in the night?
Do they nap? When do they nap/wake up? Do they have a special routine?
Would you classify them as a picky eater, adventurous, etc? What are some of their favorite foods?
How have you gone about toilet training? Does your child need reminders? Do you have any special routines/words around using the toilet?
Were any recommendations made for your child?

Social and Emotional

Tell us about yourself

What are your educational goals for your child? How do you see us facilitating these goals?