Application Form - clhds.com

You can register new students with this form, using one form per child. After submitting this form, we will reach out to confirm if your spot is reserved, and if so, we will set up an interview.
Child's First Name:*
Child's DOB:*

Month Day Year
Our Preschool groups are for children who are 18 months or older, by September 1st. Based on your child's DOB, they will be placed into the appropiate group.
Mother's Name:*
First Name Last Name
Mother Email:*
Mother Phone:*

Area Code Phone Number
Father's Name:*
First Name Last Name
Father's Email:*
Father Phone:*

Area Code Phone Number
Our core program is from 8:45am-1:00pm, Monday through Thursday, and 8:45-12:30 on Friday. We also have an Extended Day program which lengthens your child's day till 3pm Monday - Thursday.

You can submit your application for Extended Day here, and you will be notified of acceptance. There is a $150 non-refundable application fee per child. You will only be charged once your child is accepted, and the application fee will go towards your Extended Day tuition.

If you aren't registering for Extended Day, skip this next section and choose 'submit' below.
Preschool Extended Day:

I would like to sign up for 3pm Extended Day
Choose any that apply:

I am a Cheder staff memberI have other children in Cheder
Total

$0.00

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Name on Card
Expiration Month	Expiration Year

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