EmailMe Form - Toddler Center Program Application 2017-2018

Please complete the information requested in the application. All fields with an asterisk are required and must be completed in order to proceed in the application process. Please do not hit the “Back” button on your internet browser at any time in the application process instead use the “Previous Page” button at the bottom of the application to go back in the process.

If you need more information on the application process, please see the FAQs here.
FAQ Link

Please note that this application is only for Toddler Center applicants and not applicants for the Nursery School.

PARENT/GUARDIAN INFORMATION

Primary Parent / Guardian - First Name *

Primary Parent / Guardian - Last Name: *

Main Phone # *

### - ### - ####

E-mail Address *

Confirm E-mail Address

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Occupation:

Work #

### - ### - ####

Home Phone #:

### - ### - ####

Secondary Parent / Guardian - First Name *

If there is not a second parent or guardian please enter “none”

Secondary Parent / Guardian - Last Name: *

If there is not a second parent or guardian please enter “none”

Main Phone # *

### - ### - ####

If there is not a cell phone number, please enter “111-111-1111."

E-mail Address

Confirm E-mail Address

if same as Parent/Guardian above, please check here. If different, please complete.

Address - if different

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Occupation:

Work #

### - ### - ####

Home Phone #:

### - ### - ####

1st Applicant Information:

Child's First Name *

Child's Last Name *

Date of Birth: *

MM / DD / YYYY

Gender: *

Student Group:

This section will be used to determine the number of credits applied based on the qualifiers. A maximum of one credit will be assigned for each of the two categories of registering sibling and alumni relationships.

Current MCNS Student Returning

The applicant is currently a student at MCNS Toddler Center and will be returning for the 2017-2018 school year.

New MCNS Families

The applicant is not currently a student at MCNS (Nursery School or Toddler center) nor has a sibling, parent or grandparent that is an alumni of MCNS.

Registering Sibling(s)

The applicant has one or more siblings who are also registering at MCNS (Nursery School or Toddler Center) for the 2017-2018 school year. Please provide name(s):

Alumni Relationship(s)

The applicant has one or more siblings, parents or grandparents who have graduated from MCNS prior to attending kindergarten or has a sibling graduating from MCNS during the 2016-2017 school year- Please provide name(s):

Current student status are based on participation in the Nursery School and Toddler Center. Alumni relationships are based on graduation from the Nursery School. Camp participation is not included in these categories.

We admit students of any race, color, religion, national or ethnic origin.

PROGRAM CHOICES

Please select your first choice as to program days and times. The second choice is optional, but may improve your chance of securing a spot if your first choice is not available. If you do not want a particular choice, please do not mark it.

FIRST CHOICE *

2 Half Days AM [TH, F] - 8:50 AM to 11:20 AM - $3,400.00

3 Half Days AM [M, T, W] - 8:50 AM to 11:20 AM - $5,100.00

5 Half Days AM [M, T, W, TH, F] - 8:50 AM to 11:20 AM - $8,500.00

2 Half Days PM [TH, F] - 12:15 PM to 2:45 PM - $3,400.00

3 Half Days PM [M, T, W] - 12:15 PM to 2:45 PM - $5,100.00

4 Half Days PM [M, T, W, TH] - 12:15 PM to 2:45 PM - $6,800.00

SECOND CHOICE

2 Half Days AM [TH, F] - 8:50 AM to 11:20 AM - $3,400.00

3 Half Days AM [M, T, W] - 8:50 AM to 11:20 AM - $5,100.00

5 Half Days AM [M, T, W, TH, F] - 8:50 AM to 11:20 AM - $8,500.00

2 Half Days PM [TH, F] - 12:15 PM to 2:45 PM - $3,400.00

3 Half Days PM [M, T, W] - 12:15 PM to 2:45 PM - $5,100.00

4 Half Days PM [M, T, W, TH] - 12:15 PM to 2:45 PM - $6,800.00

If you made a selection under Second Choice but would like to only submit one choice, please select the same program option you selected in First Choice in the Second Choice field