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* infant nursery * preschool * TK *

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9. Requested Program (choose one): *

Infant Program (6 weeks-23 months) 7:30am-5:30p

Toddler Program (2 years) 7:30a-5:30p

Toddler Half Day Program (2 years) 7:30a-12:30p

Preschool Program (3-5 years) 7:30a-5:30p

Preschool Half Day Program (3-5 years) 7:30a-12:30p

contact info

11. Requested enrollment date: *

14. Where did you hear about us? *

Google search

Yelp

an LPE parent referred you (please tell us who below so we can thank them!)

Bottlerock Nursing Lounge/Diaper Station tent

Napa Moms Group

Community Resources for Children (CRC)

Winnie.com

Facebook

Napa Mom's Preschool Expo

MomSquad Napa Valley

other (please tell us below!)

12. Tuition Payments: *

Private Pay

CRC/Solano Family Services

Military Subsidy

* Please complete this form below and we will get in touch to schedule an on-site tour *

13. Child's age at enrollment: *

Additional Info

6. Second Parent's Email: *

Thank you for contacting us! We will be in touch as soon as possible, but please feel free to follow up with an email or phone call if someone doesn't get back to you within 48 hours. Le Petit Elephant

10. Schedule Requested: *

Monday - Friday

Monday/Wednesday/Friday

Tuesday/Thursday

16. LPE is proud to offer our families need-based Tuition Assistance on a sliding scale. Please check the box below if you would like to receive our Financial Aid Application:

Please send me the Financial Aid application. I understand that the application is through a 3rd party agency and there will be a $60 application fee if I choose to apply.

Milli Pintacsi, Founder/Head of School

Le Petit Elephant Nursery and Preschool

2645 Laurel Street

Napa, CA 94558

(707) 690-8797

MissMilli@LPEnapa.com

15. Do you have any any concerns for your child surrounding of the following? *

Speech Delay

Motor Delay

Developmental Delay

Autism

Other (please detail below)

No concerns at this time

7. Child's Name: *

4. Second Parent's Name: *

3. Email: *

1. Parent's Name: *

8. Child's birth date (or due date): *

2. Phone number: *

5. Second Parent's Phone Number: *

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