Enrichment Academy Initial Application

Parent/Guardian's Name*

First NameLast Name

Phone Number

Area CodePhone Number

The best time to return my call and talk with me is at (anytime from 630am to8pm) blanks. Please note we will do our best to call you in that window, if we do not return your call within 2 hours of your text message.

Email

example@example.com

Elementary Academy Program Ages Kindergarten to 2nd Grade

745am to 245pm $745.00715am to 315pm $800.00Extended Care 315-400pm $100.00

What would be your child's possible first day of school? We realize that this is just a request. We want to know if you need care ASAP or in the next month or year.

Date

Monthly cost for Preschool and Childcare.

School Day $1050.00 7am-3pmFull Day $1200.00 645am-345pmExtended Day $1350 630am-415pmHalf Day 715am-330pmTwo Days $725 option one Mon & ThursThree Days $820, option two Tues/Wed/Fri

What is your child's the birth month and year? Do NOT enter birth date.

Enter your child's first (do not list his or her last name)

Please chose the day and time we can schedule a VIRTUAL tour.

Do you or your child require any special accommodations to enter or tour the property? (Wheel chair ramp, interpreter or

No, we do not need special accommodations.Yes, please call us to set up at the number below with the details listed to help us.

Application - Enrichment Academy