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9. Requested Program (choose one) *

Infant Program (6 weeks-24 months) 7:30a-5:30p

Infant Program (6 weeks-24 months) 7:30a-3:30p

Infant Program (6 weeks-24 months) 8:00a-4:00p

Infant Program (6 weeks-24 months) 8:30am-4:30p

Infant Program (6 weeks-24 months) 9:00a-5:00p

Infant Program (6 weeks-24 months) 9:30a-5:30p

Preschool (2-6 years) 7:30a-12:30p

Preschool (2-6 years) 7:30a-3:00p

Preschool (2-6 years) 7:30a-5:30p

Preschool (2-6 years) 9:00a-12:30p

Preschool (2-6 years) 9:00a-3:00p

Preschool (2-6 years) 9:00a-5:30p

Preschool (2-6 years) 3:00p-5:30p

11. Requested enrollment date: *

13. Where did you hear about us? *

Facebook

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)

Napa Mom's Preschool Expo

other (please tell us below!)

12. Child's age at enrollment *

Additional Info

6. Second Parent's Email: *

10. Schedule Requested *

Monday - Friday

Monday/Wednesday/Friday

Tuesday/Thursday

7. Child's Name *

4. Second Parent's Name: *

3. Email: *

1. Parent's Name: *

8. Child's birth date *

2. Phone number *

5. Second Parent's Phone Number: *

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