ICDC Registration Form 2021-2022 (New Families) Thank you for your interest in Interfaith Child Development Center! Registration begins on February 20, 2021. Please fill out this form and submit at the end of the page. Registration forms will be processed in the order they are received. Starting, February 29, families will be notified by phone to inform or confirm the child’s spot availability in the program requested. You can confirm you sent the form by sending an email to firstname.lastname@example.org and we will send you an email to confirm. Rates can be found in our website. Once registration has been confirmed, an enrollment packet will be emailed and information on completion will be sent at that time. We look forward to partnering with you in your child’s education! Your Child's Name* First Last Child's Date of Birth* Date Format: MM slash DD slash YYYY Age as of September 1stWould you like to enroll more than one child?*YesNoAdditional Child's Name(s) and their DOB's*If adding more than one child, please separate with a semicolonParent or Guardian Name* First Last Parent or Guardian Phone*Parent or Guardian Email* Current School Attending (List Age Group) Interested In*Check all that apply Full Day: M-F 7am - 6pm (all programs) School Day: M-F 8am - 3pm (all programs) School Day: MWF 8am - 3pm (18M, 2's, 3's) School Day: T-Th 8am - 3pm (18M, 2's, 3's) Partial Day: M-F 9am - 12pm (18M, 2's, 3's, 4's) Partial Day: MWF 9am - 12pm (18M, 2's, 3's) Partial Day: T-Th 9am - 12pm (18M, 2's, 3's) Partial Day Extended M-F: 9am - 1pm (18M, 2's, 3's, 4's) Partial Day Extended MWF: 9am - 1pm (18M, 2's, 3's) Partial Day Extended T-Th: 9am - 1pm (18M, 2's, 3's) Transition to Kindergarten M-F: 7am - 6pm Transition to Kindergarten M-F: 8am - 3pm After School Day Program K-4th (Please indicate elementary school your child attends in notes below) Are you interested in Summer Camp a few days a week? If Yes, we will contact you with more information.*YesNoAre you interested in Summer Camp Full Day? If Yes, we will contact you with more information.*YesNoAnything else we need to know?