Name: Durham Application
SKU: 1573
Price: 50.00 USD
Availability: InStock

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Application Fee: $50

After completing this application online you must pay via PayPal for it to be submitted to Our PlayHouse. A PayPal account is not required.

General Information

Child's Name*

Name Called

Child's Birthdate*

Gender*

Child's Photo

Parent(s) Name(s)*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent 1's Phone Number*

Parent 2's Phone Number (if applicable)

Parent 1's Email*

Enter Email Confirm Email

Parent 2's Email

Enter Email Confirm Email

Your Preferences

Preferred Start Date*

Which session will your child be attending?

Number of days to attend:*

Which days to attend*

Monday
Tuesday
Wednesday
Thursday
Friday

We will try to accommodate your preference of days, but cannot gaurantee your first choice.

Are you interested in early drop-off, beginning at 7:30am?

Which days would you like early drop off?

Monday
Tuesday
Wednesday
Thursday
Friday

We will try to accommodate your preference of days, but cannot gaurantee your first choice.

Getting To Know You

Please share a little about your child and family

What are you looking for in a preschool?

What do you hope your child gains from a preschool experience?

Please describe your child's previous group experience or experience with caregivers other than the parents.

What are some of your child's favorite activities?

What do you consider to be your child's strengths?

Are there areas you feel your child needs extra help or work?

Do you have any special interests or skills you would be interested in sharing with a group of children at school?

Does your child have any allergies?

Is there any health or medical information that might affect your child's daily life at school?

How did you hear about us?

Optional: We use demographic data to inform our programming and meet the needs of our families. You have the option to provide this at the time of your application.

Please describe your family structure (two parent household, single parent household, etc.)

Ethnicity or culture

Language spoken at home

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