Early Childhood Center:
1275 15th Street
(at the Carriage House)
Fort Lee, NJ 07024
(201) 224-4052
Fax: (201) 224-9852

Preschool &
Summer Camp:
223 14th Street
(Corner Brinkerhoff
& 14th St.)
Palisades Park, NJ 07650
(201) 592-6695
Fax: (201) 302-9729

 
 

Early Childhood Center, Fort Lee Campus

Application

  
   
 
Child's Full Name:
 
Parent's Name:
 
               
Child's Date of Birth:
 
Home Telephone:
  (Dashes may be used)
Parent's Work Telephone:
  Ext:
           
Address Line 1:
 
Address Line 2:
 
Town/City:
  
           
(Please note that class placement is based on the child's age as of October 2009)
Class:



             

Program
Please indicate your program choice in the drop-down menu below, enter your start and end times, and the date you would like to start.

Program:
Start Time:
End Time:
     
Start Date Requested:
Month: ..Day: . Year:
         
Days
Please indicate your first and second choices for programs in the drop-down menus below.
First Choice:
If "Other", please select all that apply:
Monday Tuesday Wednesday Thursday Friday
 
Second Choice:
If "Other", please select all that apply:
Monday Tuesday Wednesday Thursday Friday
**Unusual schedules are ONLY offered at the Fort Lee Campus**
Do you have additional comments, questions or special needs?
   

 

 

 

 

Home | About Us | Our History | Our Staff | Curriculum & Schedule | For Parents | Contact Us
ABCs | Calendar | Gallery | Testimonials

Copyright 2005 Les Enfants Child Care All Rights Reserved | Site Design by Jacqueline Dessel