test register Child's First Name(required) Child's Last Name(required) Gender(required) Male Female Date of Birth(required) Father's First Name(required) Father's Last Name(required) Father's Home Address(required) Father's Employer Name(required) Father's Cell Phone(required) Father's Other Phone Father's Email(required) Mother's First Name(required) Mother's Last Name(required) Mother's Home Address (if different than father) Mother's Employer Name(required) Mother's Cell Phone(required) Mother's Other Phone Mother's Email(required) Emergency Contact (not a parent)(required) Emergency Contact Phone Number(required) Is your child toilet-trained?(required) Yes No Does your child need a nap? Yes No Only one email can be used for billling purposes. Which email would you like to use as your parent portal login to view invoices?(required) Select Program:(required) Preschool & Kindergarten (2 years 9 months and older: must be toilet-trained) Toddler (15 months-2 years 9 months) Infant (8 weeks-14 months) Schedule(required) 5 Full Days 5 Academic Days (Pre/K Only) 5 Half Days (Toddler and Pre/K Only) 4 Full Days (Pre/K Only) 4 Academic Days (Pre/K Only) 4 Half Days (Pre/K Only) 3 Full Days (Pre/K Only) 3 Academic Days (Pre/K Only) If you requested Half Days (Pre/K Only), do you want AM (8:30-11:30) or PM (12:30-3:30) AM PM If you selected less than 5 days/week, which days will your child come? (Pre/K Only) Submit Δ
