Online Application Child Information: Child's Name: Address: Date of Birth: Adult Information: Adult 1: Email 1: Phone 1: Adult 2: Email 2: Phone 2: Program Information: Preferred Length of the Day: Full Day 7:45am-6pmSchool Day 8:40am-3pmMornings 8:40am-12pm Preferred Days of the Week: 5-days (M-F)3-Days (M-W)2-Days (Th/Fr) Has your child previously attended daycare or school? If so, which: Please describe your child including his/her strengths and the things he/she is currently working on: What are your hopes/expectations for your child through this program? What is the best time for contacting you? ---morningafternoonevening What is the best method for contacting you? ---emailphone