ECC Application Form

KI Early Childhood Center Application

Student Information

Student First Name:

Student Middle Name:

Student Last Name:

Student Preferred Name:

Gender:

Student Birthdate:

Birth Country:

Inquiring for Year:

Siblings Who Have Attended KI ECC:

Age:

Parent/Guardian Information

Primary contact First Name:

Primary contact Last Name:

Primary contact Relation:

Primary contact Cell Phone:

Primary contact Email:

Secondary contact First Name:

Secondary contact Last Name:

Secondary contact Relation:

Secondary contact Cell Phone:

Secondary contact Email:

Primary Home Address:

Address Line 2

City:

State:

Zip Code:

How did you hear about KI Early Childhood Center?

I would like more information about:

Payment

* ECC Application Fee: $150.00

Please Select OneECC January 2023 Start Application Fee $150.00ECC 2022-2023 Application Fee $150.00

Wed, October 22 2025
30 Tishrei 5786

Join Our Mailing List

All Events

Wednesday ,
OctOctober 22 , 2025

Book Club Meeting
Wednesday, Oct 22nd 7:00p to 8:30p

Register Now

MORE INFO
Thursday ,
OctOctober 23 , 2025

Conversations and a Touch of Ancient Wisdom with Rabbi Steven Carr Reuben
Thursday, Oct 23rd 1:00p to 2:00p

MORE INFO
Thursday ,
OctOctober 23 , 2025

Rosh Chodesh Women's Group
Thursday, Oct 23rd 6:00p to 8:15p

Register Now

MORE INFO
Thursday ,
OctOctober 30 , 2025

Board of Trustees Meeting
Thursday, Oct 30th 7:00p to 9:00p

MORE INFO
Saturday ,
NovNovember 1 , 2025

Tikkun Olam Thanksgiving Food Drive
Shabbat, Nov 1st (All day)

MORE INFO

Wed, October 22 2025 30 Tishrei 5786

ECC Application Form

Student Information

Parent/Guardian Information

Payment

Join Our Mailing List

STAY INFORMED

OUR COMMUNITY

GET IN TOUCH

quick links

staff

GET IN TOUCH

reach out!

quick links

ecc spotlight

GET IN TOUCH

ecc updates