Leave this field empty

17-18 High Holyday Early Childhood Childcare Registration

Use this form to register children for our Early Childhood Childcare High Holiday Program. This program is for children who are potty-trained through Pre-K. You must submit an individual form for EACH child.






Submit only ONE phone number

Please remember you must Submit this form for EACH child.

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

  

Increase my donation by 3% to cover credit card fees. Please select YES to increase your donation.
Total: