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ICSJ Tot Program Application - 2019-2020 School Year

The ICSJ Tot Program will meet Tuesday & Thursday mornings from September 2019 through May 2020. The cost of tuition for the 2019-2020 school year will be released in the spring of 2019.

Students must be 2 years of age before September 1, 2019 to qualify for the ICSJ Tot Program.

Registration is offered on a first come - first serve basis and each session is limited to 10 students. Once capacity is reached, you will be put on the waitlist and notified when space becomes available.

Please complete the form below. Required fields marked *

Child's First Name*

Answer required for "Child's First Name"

Child's Last Name*

Answer required for "Child's Last Name"

Child's Birth Date*

Answer required for "Child's Birth Date"

Child's Gender

Answer required for "Child's Gender"

Male

Female

Mother's First Name*

Answer required for "Mother's First Name"

Mother's Last Name*

Answer required for "Mother's Last Name"

Father's First Name*

Answer required for "Father's First Name"

Father's Last Name*

Answer required for "Father's Last Name"

Primary Street Address*

Answer required for "Primary Street Address"

City, State Zip*

Answer required for "City, State Zip"

Primary Phone Number*

Answer required for "Primary Phone Number"

Primary E-Mail Address*

Answer required for "Primary E-Mail Address"

Application Year*

Answer required for "Application Year"

2019-2020 School Year (Child will be 2 by September 1, 2019)

2018-2019 School Year (Child has turned 2 before September 1, 2018 and you wish to transfer into the program)

Name of Parent/Caregiver who will be attending class.*

Answer required for "Name of Parent/Caregiver who will be attending class."

How did you learn about ICSJ School? Please be specific.*

Answer required for "How did you learn about ICSJ School? Please be specific."

Confirmation Email

Answer required for "Confirmation Email"