Child’s name____________________ Birth date______
Address_______________________________________________ Home phone_____________
When would you like to enroll your child? __________
(Gan Yeladim enrolls children twice per year- Mid June and the beginning of September- unless there is an unexpected opening during the school year)
Would you like to enroll your child: Full time (5 days M-F) _____ Part time (3 days MWF) ____Part time (2 days TTh) ____
School day (9-4) ____ Extended day (7:30-5:30) _____
Half day (9-12:30) ____
Parent 1 name ______________ Address ________________
Email address ___________Cell __________
Occupation ___________ Employed by __________________
Parent 2 name ____________ Address ___________________
Email address ___________ Cell __________
Occupation ___________ Employed by __________________
Please tell us a little bit about your child:
Please return this application to:
or mail to:
Gan Yeladim Preschool
57 S. Williams Street
Burlington, Vt. 05401
Attn: Lisa Rosen Ryan
click to download
GAN YELADIM PRESCHOOL APPLICATION