* Required fields
👶 About Your Child
Tell us about the child you're enrolling. This information will be used to create their record in our system.
Child's Basic Information
Please enter the child's first name
Please enter the child's last name
Please enter date of birth
Please select a gender
Health & Medical Information
Include any diagnoses, developmental considerations, or accommodations needed
👨👩👧 Parent & Guardian Information
Please provide details for the primary parent/guardian. A second guardian can be added optionally.
Primary Parent / Guardian
Required
Required
Required
Please enter a valid email
Required
Required
Emergency Contact (other than parents above)
Required
Required
🎒 Program & Enrollment Details
Tell us about your program preferences so we can match your child with the right environment.
Program Preference
Select all that apply
Required
Prior Education & Experience
Final Details
Required
Special needs, preferences, questions, or anything that will help us prepare for your child
✅ Review & Submit
Please review your information before submitting. Your application will be emailed to Director Saritha Vellore.
Child Information
Guardian Information
Program Details