2024-2025 Purchase Children's Center Enrollment Application

Fill out the Purchase Children's Center application below and click "Update Changes" at the bottom of the form to continue.

Last:

First:

Birthdate:

Street:

City:

State: Zip:

Home Phone:

Gender: Boy / Girl

Toilet Trained? Yes / No

Special Requests:

Allergies, Medical Conditions, or Special Needs if any?

Please choose your desired program below:

Teddy Bears Two Year Old Program (Main Level Classroom behind Auditorium)
	5 Days/Monday-Friday 9:00am to 11:30am $12,600 The Teddy Bears class is full. Please call 914-949-2636 for waitlist information.
Optional Lunch Bunch begins in January 11:30am - 12:30pm. Families will be contacted at the beginning of the school year about optional Lunch Bunch.

Ducks and Chicks 3 & 4 Year Old Program (Main Level Classroom at Rear of Building)
	5 Days/Monday-Friday 8:45am to 1:15pm $15,540
	AM Only Option: 5 Days/Monday-Friday 8:45am to 11:45am $12,945

Lions and Tigers 3 & 4 Year Old Program (Main Level Classroom at Front of Building)
	5 Days/Monday-Friday 9:00am to 1:30pm $15,540
	Extended Day Option: 5 Days/Monday-Friday 9:00am to 3:30pm $22,710

Sharks and Guppies 3 & 4 Year Old Program (Upstairs Classroom at Front of Building)
	5 Days/Monday-Friday 8:30am to 1:00pm $15,540
	Extended Day Option: 5 Days/Monday-Friday 8:30am to 3:30pm $23,380
	Full Day Option: 5 Days/Monday-Friday 8:30am to 5:30pm $27,060

Mother or Guardian Contact Information:

Name:

Address (if different from student):

Cell Phone:

Business Phone:

Home Phone (if different from student):

Email Address:

Father or Guardian Contact Information:

Name:

Address (if different from student):

Cell Phone:

Business Phone:

Home Phone (if different from student):

Email Address:

Approve Release Form

I agree to all the conditions in the Release document below. (Click to enlarge)

Approve Enrollment Policies

I agree to all the conditions in the Enrollment Policies document below. (Click to enlarge)

(914).949.2636

preschool@purchasehouse.com

© 2024 Purchase Children's Center, Inc.

3095 Purchase Street Purchase, NY 10577