GAN YELADIM APPLICATION

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:

  lisa@chabadvt.org

or mail to:

Gan Yeladim Preschool
57 S. Williams Street
Burlington, Vt. 05401 
Attn: Lisa Rosen Ryan         
             
 

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GAN YELADIM PRESCHOOL APPLICATION