ECC Application Form 2024-25

KI Early Childhood Center Application for Admission

Student Information

* Student First Name:

Student Middle Name:

* Student Last Name:

Student Preferred Name:

Gender:

Student Birthdate:

Application For:

Siblings Who Have Attended KI ECC:

Parent/Guardian Information

(Note: Parent A vs. Parent B does not imply a primary contact, it's just a way of delineating between parents when collecting information.)

* Parent A First Name:

* Parent A Last Name:

* Parent A Cell Phone:

* Parent A Email:

Parent B First Name:

Parent B Last Name:

Parent B Cell Phone:

Parent B Email:

Primary Home Address:

Address Line 2

City:

State:

Zip Code:

How did you hear about the KI Early Childhood Center?

I would like more information about:

Parent & MeTwo Year Old ProgramThree Year Old ProgramTK Program (4 Year Old Program)

Payment

ECC Application Fee: $150.00

ECC 2024-25 Application Fee $150.00

Mon, May 6 2024
28 Nisan 5784

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Wednesday ,
MayMay 8 , 2024

Conversion Class
Wednesday, May 8th 7:00p to 8:00p

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Thursday ,
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MayMay 15 , 2024

SPY Meal Drop Off
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Logistics for Jan-March '25 Families
Wednesday, May 15th 7:00p to 8:30p

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Friday ,
MayMay 17 , 2024

Family and Yom Haatzmaut Shabbat Dinner and Service
Friday, May 17th 5:30p to 7:00p

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Mon, May 6 2024 28 Nisan 5784

ECC Application Form 2024-25

Student Information

Parent/Guardian Information

Payment

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