• Please select all Programs that you are interested in:
  • Please select all Specials that you are interested in:
  • Child's Information

  • MM slash DD slash YYYY
  • Parent/Guardian 1 Information

  • Parent/Guardian 2 Information

  • Emergency Contact 1

    Each child is required to have an additional two emergency contacts, other than the 2 parents/guardians. These are people we would reach out to if we are unable to reach a parent/guardian.
  • Emergency Contact 2

    Each child is required to have an additional two emergency contacts, other than the 2 parents/guardians. These are people we would reach out to if we are unable to reach a parent/guardian.
  • The below information helps us to understand the family dynamics.

  • Medical Information

    Please be honest and as detailed as possible. This information will help us to be more informed on your child's medical history and provide care to the best of our abilities. There may be additional documentation or training that we will need from you and/or your child's physician.
  • All About Me

    Child Developmental Insights: We believe that you are your child's first and most important teacher. We believe that education is a partnership between home and childcare/school. To begin this communication, please take some time to tell us a little about your child.
  • Application Fee

    There is a $75.00 non-refundable application fee.
  • Inde Elementary & Inde Hangout

    If you interested in the Inde Elementary or Home School Hangout program, please fill out the below section. If you are not interested in this program, please skip this section by scrolling to the bottom, and submit the application.