New 2020 Enrollment 2020-2021 Application Form Thank you for your interest in CCNS! Please complete the application below if you are interested in being added to our waitlist for the 2020-2021 school year. Class Information Class * T/TH Little Wanderers (2’s & 3's- T/TH Mornings) M/W Little Wanderers (2’s & 3's- M/W Mornings) Wanderers (3's & 4's - T/TH Mornings) Trailblazers (3's & 4's - M/W Afternoons) Adventurers (3's & 4's - M/W Mornings) Investigators (4’s & 5's - M/W/F Afternoons) Pathfinders (4’s & 5's - T/TH Afternoons) Thurday Sightseers Single Day (4-8 TH Afternoon) Friday Sightseers Single Day (4-8 FR Morning) Please select the class you have received placement for for Fall 2020. Your Child's Information First Name * Last Name * Date of Birth * Gender * Gender Male Female Does your child have any allergies? * No Yes List the allergies your child has. List any medications your child takes on a regular basis. Parent's Information First Name * Last Name * Phone * Email * Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia 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 State/Province Zip/Postal Zip/Postal Second Parent's Information First Name * Last Name * Phone Email Next
