Child's Information
Name *
Name
Address *
Address
Birth Date *
Birth Date
For 2's and 3's only
Applying for:
Sex *
Parent's Information
Parent 1 Name *
Parent 1 Name
Parent 1 Address *
Parent 1 Address
Parent 1 Home Phone
Parent 1 Home Phone
Parent 1 Cell Phone *
Parent 1 Cell Phone
Parent 1 Work Phone
Parent 1 Work Phone
Parent 1 Work Address
Parent 1 Work Address
Parent 2 Name
Parent 2 Name
Parent 2 Address
Parent 2 Address
Parent 2 Home Phone
Parent 2 Home Phone
Parent 2 Cell Phone
Parent 2 Cell Phone
Parent 2 Work Phone
Parent 2 Work Phone
Parent 2 Work Address
Parent 2 Work Address
Check all that Apply
Parent Involvement Expectations
All Glenn School for Young Children families are expected to volunteer for a minimum of two (2) shifts at each of the Glenn Sales (fall and spring) for a total of four (4) shifts. *
All Glenn School for Young Children families are expected to attend the Fall Workday and fulfill at least one other volunteer commitment during the school year. *
I understand that my advance tuition payment and application fee are non-refundable. *
Please type your name here to serve as your digital signature of this application.