Clear Form
☐ Fall 2020
☐ Spring 2021
☐ Half Day
☐ Full Day
☐ All Day
☐ 3 x per week
☐ 5 x per week

Child

(optional)
☐ M
☐ F

Parent / Guardian 1

Parent / Guardian 2

☐ Both Parents
☐ Parent 1
☐ Parent 2
☐ Other:

Non-Discrimination Policy

We value diversity among our students. We do not discriminate in our enrollment policies on the basis of race, color, gender, religion, sexual orientation, national or ethnic origin.