Visitation School Early Learning Center Enrollment Form

Required

Vis Alumni, STA Alumni or Vis or STA Faculty/Staff
Child's Namerequired
First Name
Last Name
Parent #1
Parent 1 Namerequired
First Name
Last Name
Parent #2
Parent 2 Namerequired
First Name
Last Name
Child's Daily Schedule Request
Child's Namerequired
First Name
Last Name
(Application will remain on file indefinitely.  Your child will be automatically moved into the appropriate wait pool for their age group.
 

FULL TIME

 

Part Time
$25.00
*must be paid to be considered registered or on the waiting list

Payment Information

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Cardholder Namerequired
Expirationrequired