Contact
curriculum Calendar school fees application
 

application
For Enrollment

Child's Name:  Age:  Birthdate: 
Address:             
Home Telephone:             
Fatherıs Name:  Bus. Tel.: 
Occupation:  Parent Social Security #: 
Business Address:             
Motherıs Name:  Bus. Tel.: 
Occupation:             
Business Address:             
Emergency Name:  Telephone: 
Emergency Address:  Telephone: 
Doctorıs Name:  Telephone: 
Sibilingıs Name:  Age: 
Name:  Age: 
Name:  Age: 
Name:  Age: 
CLASS REGISTRATION INFORMATION
(please check choice of class and time)
SESSION      
  2 Day Class                 2 Morning                 2 Afternoon                 2 Full Day      
  3 Day Class                 2 Morning                 2 Afternoon                 2 Full Day      
  5 Day Class                 2 Morning                 2 Afternoon                 2 Full Day      
  Kindergarten               2 Morning                 2 Afternoon                 2 Full Day      
  Universal Pre-k: 1/2 day program. FREEE      
Non-Refundable Registration    
     
We have extended hours, and we service 2-4 year olds. 2 year olds do not need to be potty trained.

The undersigned hereby acknowledges that he/she has received a copy of the Little Dolphin School registration information and the undersigned agrees to abide by all of said registration information.
     
   

Signature/Name of Parent or Guardian