Redwood City Enrollment Application Redwood City Application 2020-2021 Enrollment Please enable JavaScript in your browser to complete this form. - Step 1 of 5Child InformationChild's Name *FirstMiddleLastChild's Date of Birth *(Month/Day/Year)Child's Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextFather's Information Father's Name *FirstLastFather's AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFather's Home PhoneFather's Cell PhoneFather's Work PhoneFather's Email *Father's OccupationNextMother's InformationMother's Name *FirstLastMother's AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMother's Home PhoneMother's Cell PhoneMother's Work PhoneMother's Email *Mother's OccupationNextEmergency ContactEmergency Contact Name *FirstLastEmergency Contact Phone *Emergency Contact RelationshipPerson Authorized for Pickup #1Authorized Person #1 Name *FirstLastAuthorized Person #1 Phone *Authorized Person #1 RelationshipPersonal Authorized for Pickup #2Authorized Person #2 Name *FirstLastAuthorized Person #2 Phone *Authorized Person #2 RelationshipNextProgram DetailsAvailable Programs *Half Instructional Day (8am - 11am)Full Instructional Day (8am - 2pm)Early Full Instructional Day (7:30am - 2pm)Extended Full Instructional Day (7:30am - 4:30pm)Extended Child Care up to 6pm can be arranged. Please speak with the Director for more information.PLEASE NOTE Our students will not be released to anyone other than people listed on the Enrollment form. We are waving all Fees during the Covid-19 Pandemic time period If for any reason it becomes necessary to withdraw your child, a minimum notice of one month is required Signature *Clear SignatureUse your mouse or finger to draw your signature.Date *Submit Contact Us Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Location *Redwood CitySan RamonMessageSubmit San Ramon Campus 2400 Old Crow Canyon Road San Ramon, CA 94583 (925) 743-0800 (925) 743-0805 Visit us on Facebook Redwood City Campus 2000 Woodside Road Redwood City, CA 94061 (650) 366-9859 (650) 366-3955 Visit us on Facebook
