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Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone *

Main Contact

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Program Selection *

Please select one of the following programs, and mail-in a non-refundable application fee of $200. You can pay with check or VENMO (@NSOWpayment) Checks should be payable to Nursery School of Westchester. Tuition Refund Policy: If your child withdraws from any of our programs, a pro-rated tuition refund will be issued if, only if, your child's spot is filled by another child.

2 year-old (9-11:40am - 3 days M - W )

3 year-old (9-11:45am) (5 days)

4 year-old (9-11:45am) (5 days)

Early Drop off (8:15-9am)

Extended Day

Extended Day Options 11:45-1pm

1 day

2 days

3 days

4 days

5 days

Lunch Club

Lunch Club Options 11:45 - 2pm

Mondays: Sports &Games

Tuesday: Nature/Science/Math Exploration

Wednesday: Cooking 101

Thursday: Dramatic Movement & Dance

Fridays: Early Literacy (only 4's & till 1pm)

Todays Date

MM

DD

YYYY

Signature

First Name

Last Name