2021-2022 Online Application This is the online application for the 2021-2022 school year. * Child's Name: * Address: * Date of Birth: Month: ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day: ---12345678910111213141516171819202122232425262728293031 Year: ---201720182019 * Sex: ---boygirl * Parent Name: Occupation: * Home Phone: Work Phone: * Email: Cell Phone: Does your child have a preferred nickname? 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: Do you have any concerns about your child’s development? 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? ---emailhome phonework phonecell phone Are you considering using early morning drop off or the extended day option? Early dropoff: ---alwaysoftenoccasionallyrarely Extended day: ---alwaysoftenoccasionallyrarely Please choose your preferred schedule below. You can make up to three choices total with 1 representing your first choice and 3 representing your third choice. * Full Day 7:45am-6pm 5 days: ---Not interested123 3 days: ---Not interested123 2 days: ---Not interested123 * School Day 8:30am-3pm 5 days: ---Not interested123 3 days: ---Not interested123 2 days: ---Not interested123 * Mornings 8:30pm-12pm 5 days: ---Not interested123 3 days: ---Not interested123 2 days: ---Not interested123 * Required « 2018-2019