Admission Application Form

Use this form to send us your registration information. Please note, registrations are not complete until a deposit is received.
Please contact us if you have questions or would like more information.

Date of Application
Name of Child * Date of Birth
Address
Zip
Home Phone Email *

Father's Name Occupation
Business Address
Business Phone Cell Phone
Mother's Name Occupation
Business Address
Business Phone Cell Phone

Number of Siblings, age and sex

How did you hear about Keshet

Has your child had previous group experience (preschool, daycare, play groups, for example)?

To facilitate class assignments and curriculum planning, please indicate below, the number of hours per day and the numbers of days per week, you would like your child to attend preschool:

_____ 2-year-old class (2 days): Tuesday and Thursday 9:15-1:15
_____ 3-year-old class: (3 days) Monday, Wednesday and Friday 9:15-1:15
_____ 3 year old class (5 days) 9:15-1:15
_____ Pre-K class: Monday through Friday 9:15-1:15

We may offer early drop off daily from 8:30 to 9:15 a.m. For planning purposes, please indicate if you plan on utilizing this service.

I plan to make use of early morning drop off (please check one):

I plan to make use of afternoon drop off (please check one):

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Contact

Keshet Child Development Center
758 23rd Street South
Arlington, VA 22202-2420
(703) 535-5525
preschool@keshetcdc.com

Keshet Child Development Center
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