Early Child Education - Application 2022-2023

Early Child Education Application 2022-2023

Seashore Academy is opening an Early Childhood Education program this Fall! Our program is designed for children ages 3-4 and fully potty trained. Students in our ECE program will be able to attend on Mondays, Fridays, or both Mondays and Fridays from 9:30 am - 1:30 pm. We are excited to offer a program that will provide a safe and joy-filled learning environment for early childhood development. Please complete the form below to begin the application process!

Basic information for parent(s) and student(s)
Primary Parent*

First NameLast Name
Primary Parent Email*
example@example.com
Primary Parent Phone Number*
Please enter a valid phone number.
Secondary Parent

First NameLast Name
Secondary Parent Email
example@example.com
Secondary Parent Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Is your child potty trained? *
* Student is required to be fully potty trained
Student #2 Full Name

First NameMiddle NameLast Name
Student #2 Date of Birth

MonthDayYear
Date
Student #2 Gender

MaleFemale
Student #2 Is your child potty trained?
* Student is required to be fully potty trained
Have any of your students ever had an IEP, either in the past or currently?

YesNo
If selected YES above, please list the name of your student/s that have had or have an IEP and any details regarding the IEP *
Please note: Seashore Academy does not specialize in IEPs nor have the resources to support a student's IEP needs.

Additional questions
Preferred schedule?*
Preferred days are dependent upon availability (Monday and Friday) (Monday only) (Friday only)
Please share why you are interested in joining Seashore Academy:*
What are your learning goals for your child(ren)?*
How did you hear about us?*

Payment
Important notes:

Our Non-Refundable Application Fee is $89 per child. Once the application form and fee are reviewed, our admissions team will contact you directly.

Our Admissions Process is described here.

Payment of NON-REFUNDABLE Application Fee*

NON-REFUNDABLE Application Fee, Early Child Education Program (2022-2023)Please adjust the "Quantity" field to the number of children who are applying. The Application Fee covers the cost of processing each application. It is paid *per child*.

$89.00 Quantity

Total

$0.00

Credit Card Details
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Credit Card Number	Security Code
Card Expiration

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Early Child Education Application 2022-2023