Thank you for your interest in enrolling your student(s) at Leap Ahead Preschool! 

Please complete the form below to get started. Other items that will be required to finalize your enrollment include: 

  • Payment of your enrollment fee 
  • Confirmation from the director or staff that there is room available in the class you selected 
Year Desired *
Select the term(s) you wish to enroll for
Child's Primary Information
Child's Name *
Child's Name
Child's Birth Date *
Child's Birth Date
Child's Sex *
Child's Primary Address *
Child's Primary Address
Class selection (subject to availability)
Class Selection *
Please select your desired class. You may also select a secondary class in case your desired class is full.
Secondary Class Selection
You may select a secondary class selection in case your primary choice is full.
For Summer Camp students, please indicate what days/weeks you would like to have Summer Camp.
Waitlist
Would you like to be added to the waitlist if your desired class is full?
Parent 1 Information
Parent 1 Name *
Parent 1 Name
Parent 1 Primary Contact Phone *
Parent 1 Primary Contact Phone
Parent 1 Secondary Contact Phone
Parent 1 Secondary Contact Phone
Parent 1 Address (if not same as child's)
Parent 1 Address (if not same as child's)
Parent 2 Information
Parent 2 Name
Parent 2 Name
Parent 2 Primary Contact Phone
Parent 2 Primary Contact Phone
Parent 2 Secondary Contact Phone
Parent 2 Secondary Contact Phone
Parent 2 Address (if not same as child's)
Parent 2 Address (if not same as child's)
Child's Additional Information
Does s/he dress self *
Is s/he left or right handed *
Any separation anxiety expected? *
Emergency and Release contacts
Please provide contact information for two individuals that we can contact in the event of an emergency if we can not reach you. Please also indicate if you approve your child to be released to this individual.
Emergency Contact 1 *
Emergency Contact 1
Emergency Contact 1 Phone *
Emergency Contact 1 Phone
Release allowed? *
Emergency Contact 2 *
Emergency Contact 2
Emergency Contact 2 Phone *
Emergency Contact 2 Phone
Release allowed? *
Additional Approvals
Sunscreen
May we apply sun screen for your student?
Picture release *
How may Leap Ahead use photos of your student? A group picture could be a class photo, or a picture of students around a work space etc..
Goals for your student
Please list specifically what you want your child to gain/experience from this pre-school year. We will try to help him/her meet those goals. If those goals change during the year, let us know. We will take good care of your child!
Signature
Leap Ahead Preschool retains the right to dismiss from the group any child who demonstrates an inability to participate in or benefit from the school, or whose presence is detrimental to the group.
Please type your full name in this box to indicate you have, to the best of your knowledge, accurately and completely filled out this application form.
Signed Date *
Signed Date
Please enter date signed