Parent/ Guardian #1 Name *

First Name

Last Name

Parent/ Guardian #1 Phone *

(###)

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Parent/ Guardian #2 Name *

First Name

Last Name

Parent/ Guardian #2 Phone *

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Name *

First Name

Last Name

Emergency Contact #1 (non-parent)

First Name

Last Name

Emergency Contact #1 Phone Number (non-parent)

(###)

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Emergency Contact #2 (non-parent)

First Name

Last Name

Emergency Contact #2 Phone Number (non-parent)

(###)

###

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Photo Permission *

We send monthly newsletters with pictures of the kids. In addition to that, do you give us permission to use your child’s photo on our Instagram page.

Yes

No

Add Extended Care (no extended care on Fridays) *

Add extended care to your child's schedule (no extended care option on Fridays). The extended childcare option is from 8:15-3:30. The indoor preschool space will be at Jess' house in Summit Park (4 mins from trailhead).

Add extended care to my child’s schedule

N/A

Registration Fee and Tuition *

There is an annual 225.00 registration/supply fee, per child, due with the Application. To pay, please use the "add to cart" link below the form. **Tuition for the 2025-26 school year is figured annually and split into 10 equal payments, which are due on the first of every month (Aug-May).

I understand that the registration fee must be paid with this form using the "add to cart" link below, to hold my child's spot.

Release Form *

A release from will be emailed to you shortly. You agree to sign and send it back within 24 hrs, to hold your child's spot.

I understand that I must sign the release form that is emailed to me and send it back within 24 hrs, to hold my child's spot.