Young School Pre-K Enrollment Form

Child's Name *
Child's Name
Please select the days of the week you would like your child to attend Young School. *
Primary Address *
Primary Address
Secondary Address (If applicable)
Secondary Address (If applicable)
Child's Birthday *
Child's Birthday
Guardian One *
Guardian One
Guardian One Phone *
Guardian One Phone
Guardian Two
Guardian Two
Guardian Two Phone
Guardian Two Phone
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Allowed to Pick Up Child?