Tour Form

* Indicates Required Fields
Name of Child *

First Name Last Name
Date of Birth *

Month Day Year
Age *
Sex

Male Female
Home Address
City
State
Home Phone *

Area Code Phone Number
Cell Phone

Area Code Phone Number
Email Address *
Name of Parent / Guardian *

First Name Last Name
Program Desired for Enrollment

Early Bird, 8:00am - 8:45am Morning Session, 8:45am - 12:00pm School Session, 8:45am - 2:30pm Extended Day, 2:30pm - 5:00pm VPK Full Day, 8:45am - 2:30am VPK pm, 11:30am - 2:30pm
Days of Attendance

Mon - Fri Mon, Wed, Fri Tue, Thurs (pre-primary only)
Class

Pre-Primary Primary VPK pm
Anticipated Starting Date

Month Day Year
Should be Empty: