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Application Form

This form is currently closed.

Registration for 2026-2027 is closed
I am interested in:

18-24 Months2 year olds3 year olds (existing families only!)4 year olds (existing families only!)
Student Information
Child's Name*
First Name Last Name
Child's Birth Date*

Month Day Year
Gender*

MaleFemale
Applying Parent's Name*
First Name Last Name

Address*

Are you interested in:

Half DayFull Day
I am interested in:

Early care (8:00-8:30 AM)After care (3:30-5:00 PM)
Parent Information
Parent #1
Parent's Name*
First Name Last Name
Parent's Cell Phone*

Area Code Phone Number
Parent's E-mail*
Parent #2
Parent's Name*
First Name Last Name
Parent's Cell Phone*

Area Code Phone Number
Is the mother of the child Jewish? *

YesNo
Have there been any conversions in the family?*

YesNo
Additional Information
Will you be applying for financial aid?

YesNo
If you selected yes, please send an email to [email protected] requesting the form to begin the process.
Prefer to be contacted by

EmailPhone
How did you hear about us?

GoogleSocial MediaOther onlineFriend/Neighbor
There is a $500 registration fee .

Click here to view our full tuition rates.

If you decide not to send your child to our school, your deposit will NOT be refunded

If your child is not accepted into our preschool, we will refund your deposit.

Please input your payment here for the registration fee:
Registration Fee*

$500
Total

$500.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Registration for 2026-2027 is closed