Young School Pre-K Enrollment Form

Dear Parents and Guardians,

Please complete this form by July 1st so that we may begin to plan for your student and so that we will know the open days we can offer other families. We would love to have a full class of 10 students each day so as to offer a complete community experience to your child and so that we can support SixTwelve financially. This will also help us to offer scholarship opportunities to students, as well. 

Thank you!

Amy Young, Co Founder and Executive Director, SixTwelve

Child's Name *
Child's Name
Please select the days of the week you would like your child to attend Young School. *
You must choose the days of the week that your student will attend so that we can fill the open spots by giving other families a chance to attend. This will also determine your tuition costs.
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?