Waiting List Name * First Name Last Name Number * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email Address * Enrolling in which program? * Infant and Toddler class (2 - 36 months) Preschool Promise Before and After School Care Which site would you like to enroll? * Education Explorers Main location (SW Tiedeman Ave. Tigard, OR) Omolaso Preschool and Childcare (SW McDonald Ave. Tigard) Education Explorers Nursery (SW New Forest Dr. Beaverton, OR) Grant Ave Preschool (SW Grant Ave, Tigard, OR) Child's Name First Name Last Name Child's Date of Birth MM DD YYYY Toilet trained? * Yes, my child is fully toilet trained. No, my child is not toilet trained. Preferred enrollment start date? * Age of child upon enrollment? * Your relationship to child? * Mother Father Legal guardian Days of care needed * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Drop off time * Hour Minute Second AM PM Pick up time * Hour Minute Second AM PM Do you require subsidy (DHS)? * Yes No Are we located near your home or place of work? * Yes, near my home. Yes, near my place of work. Neither Do your child require transportation to and from school? * Yes No How did you hear about us? * Facebook post Google Search 211 Currently enrolled family Education Explorers teacher Washington County Hub TTSD staff Other Other Schedule a tour
