2026-2027 Pre School and Toddler Application

Child Information

Child's First Name:

Child's Last Name:

Child's Date of Birth:

Gender

MaleFemale

Address Information

Street Name:

Apt #:

Town:

State:

Zip Code:

Parent/Guardian Information

Parent/Guardian First Name:

Parent/Guardian Last Name:

Cell Phone #

E-mail Address

Class Selection

Choose One:

2-3 Toddler class Monday and Wednesday 9:00-11:00 (must be 2 by December 1st) 2-3 Toddler class Tuesday and Thursday 9:00-11:00 (must be 2 by December 1st) 3-4-year-old class 5 Days/Week Monday-Friday 8:30-11:00 (must be 3 by December 1st) 3-4-year-old class Monday, Wednesday, Friday 9:00-11:30 (must be 3 by December 1st) 3-4-year-old class Monday, Wednesday, Friday 12:30-3:00 (must be 3 by December 1st)3-4-year-old class Tuesday, Thursday 12:30-3:00 (must be 3 by December 1st)4–5-year-old Pre-K class 5 Day/Week Monday-Friday 12:00-2:30 (1 year before kindergarten)

Have you applied to the UPK Program at your child's home school?

YesNo

Tuition Information

Toddlers (2 days a week) $120.00/month

Toddlers (1 day a week) $60/month

3-4 Year Olds (2 days a week) $135.00/month

3-4 Year Olds (3 days a week) $195.00/month

3-4 Year Olds (5 days a week) $310.00/month

4-5 Year Olds pre-k (5 days a week) $310.00/month

Sibling Discount

1st Child 100% tuition 2nd child 75% tuition of the lower tuition rate 3rd child 50% tuition of the lower tuition rate

Payment Information

Payment Type

E-mail bill for on-line paymentI will drop off a check/cash (413 Bay Road, Queensbury)

E-mail bill to:

A non-refundable registration fee of $50.00 to guarantee your child’s slot is required with this application.

This registration fee is for supply purchases for the year.

Tour

Tour of Program

I would like to take a tour of the building.I have already toured the building.

Contact Information

For more information e-mail Isabelle Dickens at idickens@adkenrichment.com or call

518-761-2025 ext 102

Contact Information