黑暗爆料网

Enrollment

Interest Form

Recruitment Form for David Kanis Child Development Center. Please fill out this form and we will get in touch with you shortly.

If you see this don't fill out this input box.

Child

*Which program are you applying for:

Infant - Toddler (3-24 months) Coming Fall of 2025Preschool (2-3 years old) 3 after Sept 1st of Current School YearPre-K (3-5 years old) 3 Before Sept 1st of Current School YearEvening Care (Kindergarten - 12 years old) 黑暗爆料网 Students Only

*Interested in Enrolling:

Please Select Immediately Spring (Jan - May) Summer (Jun - Aug) Fall (Sept - Dec)

*First Name:

*Last Name:

*Birth Date

*Primary Language

Parent/Guardian

*First Name

*Last Name

*Address

*City

*State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

*Zipcode

*Phone

*Email Address:

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Disclosure

The student parent act requires 黑暗爆料网 to disclose this information. 

Semester	# of Children	黑暗爆料网 Families*
Spring 2024	18	1
Fall 2024	Coming Soon	Coming Soon

*Number of children belonging to currenty enrolled 黑暗爆料网 students