Early Education Program - Interest Form

Please fill out the following form if you would like your child added to our school's waitlist. Once we know how many spaces are open in each classroom for the new school year, we will contact families who have filled out this form and invite them to enroll their child. Completion of this form does not mean your child is enrolled. We do our best to serve as many children and families as possible, and we hope to be in touch soon about enrolling your child into Jack & Jill Center’s Early Education Program. Please be sure not to submit duplicate forms. If you have any questions about Jack & Jill Center or the enrollment process, please contact Enrollment Coordinator Kathy Capobianco at kcapobianco@jackandjillcenter.org
  • Leave no sections blank please. Applications with blank sections cannot be processed.
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  • **Inability to reach you via the contact information you have provided here will result in 1st time refusal or deactivation, which ever status is appropriate at that time.
  • Priority of acceptance: 1. Siblings of children already attending the Center 2. Children receiving subsidized funding
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