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Apply Now For 2026
Expected Start Date
Which class are you wanting to register for?*
Please Select
Day Care
After Care
Student Information
Full Name
Gender*
Female
Male
Birth Date*
Home Phone*
Health Care *
Doctors Name
Parent/Guardian Information 1
Full Name
Home Phone*
Work Phone*
E-mail*
Street Address
Street Address Line 2
Parent/Guardian Information 2
Full Name
Home Phone*
Work Phone*
E-mail*
Street Address
Street Address Line 2
Other Infomation
Would your child like to be in a class with a friend?
Yes
No
Is your child immunized?*
Yes
No
If yes please list, including any food or drug allergies.
Yes
No
Does your child have any medical conditions?
Yes
No
Does your child require any medication? If yes, please list these medications.
Yes
No
Do you authorize us to administer the medications listed above?
Yes
No
Does your child have any siblings?*
Yes
No
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