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First Parent's Name *

First Name

Last Name

First Parent's Phone *

(###)

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Second Parent's Name

First Name

Last Name

Second Parent's Phone Number

(###)

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Child's Name *

First Name

Last Name

Child's Birthday (or Due Date) *

MM

DD

YYYY

Requested Enrollment Date *

MM

DD

YYYY

Requested Program *

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

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

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

Speech Delay

Motor Delay

Developmental Delay

Autism

Sensory/OT

Biting

Other

No Concerns at This Time

Financial Aid

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:

Waitlist (Free to Join!)

If you would like to be added to our Waitlist for future enrollment, please check the box below. There is no fee to join our waitlist!

Add us to the waitlist