Please print the blank application, fill it out, and send it to the address printed below.
Please check a selection for either the toddler or preschool for each child you would like to enter on the waiting list. You can make more than one selection for each child.
| Program | Age | Days | Times | Child #1 | Child #2 |
|---|---|---|---|---|---|
| Preschool | 2.5-5 yrs | M W F | 8:30-11:00 am | ______ | ______ |
| Preschool | 2.5-5 yrs | M W F | 12:30-3:00 am | ______ | ______ |
| Preschool | 2.5-5 yrs | T Th | 8:30-11:00 am | ______ | ______ |
| Preschool | 2.5-5 yrs | T Th | 12:30-3:00 am | ______ | ______ |
| Toddler | 1-2 yrs | M W | 8:30-11:00 am | ______ | ______ |
| Toddler | 1-2 yrs | T Th | 8:30-11:00 am | ______ | ______ |
| MOTHER'S NAME | ___________________________ | WORK PHONE | ____________ |
| FATHER'S NAME | ____________________________ | WORK PHONE | ____________ |
| ADDRESS | __________________________________ | HOME PHONE | ____________ |
| ___________________________________________ | |||
| ________________ |
How did you hear about our school? Word of mouth_____ Flyers at the Library_____
Internet _____ Newspaper _____ Phone Book _____
Other ____________________________
Have you visited our school? _________
If you wish to schedule a school tour please call (831)425-4495.
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Please keep us updated on any changes to your phone number and address. The above information will put you on our waiting list and will entitle you to receive communications about possible openings based on your order of priority.
Please return this application to the address listed below so that we can put your family on our waiting list. Thank you for your interest and we are glad that you'll be joining us!
Santa Cruz Parent Education Nursery School
411 Roxas Street
Santa Cruz, CA 95062
(831)420-0739
ENROLLMENT LINE (MESSAGES): (831)425-4495
www.scpens.org