Parent's Name *

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Child's Name *

First Name

Last Name

Child's Birthdate *

MM

DD

YYYY

For which school year are you interested in having your child attend? *

'23-'24

'24-'25

'25-'26

Would you be interested in Half or Full Days *

3 Half Days: Monday, Tuesday, & Wednesday from 9am - 1pm

3 Full Days: Monday, Tuesday, & Wednesday from 9am- 3pm

4 Half Days: Mondays, Tuesday, Wednesday & Thursday from 9am - 1pm

4 Full Days: Mondays, Tuesday, Wednesday & Thursday from 9am - 3pm

Is your child currently potty trained? *

Yes

No

Have you visited State of Play before? *

Yes

No

Disclaimers *

I understand that this is an application request form and does not guarantee admission. I understand that once my application is submitted, I will be contacted with additional information regarding the enrollment process. Enrollment is not guaranteed until the non-refundable down payment is requested and paid along with any other annual fees. *

Yes I Agree