ICDC Registration Form 2021-2022 Siblings and ICDC Legacies Thank you for your interest in Interfaith Child Development Center! Registration for siblings and legacies begins on February 11, 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/Guardian Name* First Last Parent/Guardian Phone*Parent/Guardian Email* Current School Attending (List Age Group) Please list name of sibling or ICDC legacy 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 Full Day Summer Camp? If Yes, we will contact you with more information.*YesNoAnything else we need to know?