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Child's First Name(s): *

Child's Last Name: *

Applying Parent's Full Name: *

Applying Parent's Phone: *

Applying Parent's Email: *

2nd Parent's Full Name:

2nd Parent's Phone:

2nd Parent's Email:

Child's Date of Birth: *

Gender: *

Has he or she attended day care/preschool previously, if yes please list?

Please provide date and times that work for you (M-F 9:30am – 11am), we will do our best to accommodate:

Prefer to be contacted by:

How did you hear about us?

Comments:

Do you have questions
and want to contact us?
Call or visit us.

949-537-3777

3880 Michelson Dr.,
Irvine CA 92612

Media Gallery

Monday – Thursday:
08:30 AM – 06:00 PM

Fridays:
08:30 AM – 3 hrs before Shabbat