Raintree Toddler/Primary Enrollment Application Raintree Toddler/Primary Enrollment Application Child InformationNote: After receiving this form and the Application Fee, your child’s name will be placed in our Waiting List, and you will be notified as to his/her eligibility depending upon openings available.Child's Name* First Last Gender*MaleFemaleUnknownDate of Birth* MM DD YYYY Which program level are you applying? Toddler Communities are all day communities for children 18 months to 3 years of age. Primary or "Children's House" is for children 3 to 6 years of age.*Toddler (starting at 18 months)Primary (starting at 3 years*)Toddler/Primary (unsure at this time)* We may start children at 2 1/2 if the child is developmental ready. Contact the office for more information.Previous Preschool Experience if ApplicableWhat specific program are you interested in?*Primary All DayPrimary Half Day AM (7:30-1:00)Preferred beginning term:*Soonest availableSpring 2021 (No guarantee of spaces at this time of year)Summer 2021Fall 2021Spring 2022 (No guarantee of spaces at this time of year)Summer 2022Fall 2022Spring 2023 (No guarantee of spaces at this time of year)Summer 2023Fall 2023Spring 2024 (No guarantee of spaces at thist time of year)Summer 2024Fall 2024Spring 2025 (No guarantee of spaces at thist time of year)Summer 2025Typical hours my child will attend Raintree (within the hours of 7:30-5:30 once we can safely return to these hours). Currently they are 7:30-4:30.* From To FromToTell us about your child!*Family InformationAre the applicant's parents/guardians divorced, separated or otherwise living separately?*NoYesChild's Primary Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/Guardian 1 InformationParent/Guardian Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Relationship to Child*Phone*Email* Employer*In order to create a user account on our parent portal you have to enter username below:The username should be all lowercase, with no space. It should be your firstnamelastname, eg: johnsmithUsername*firstnamelastname, all lowercase, no spaceHome Address/Phone are same as Child's*YesNoHome Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent/Guardian 2 InformationParent/Guardian Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Relationship to ChildPhoneEmail EmployerHome Address/Phone are same as Child'sYesNoHome Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Confirmation of Enrollment ApplicationI have had a tour of Raintree.*YesNoCalendar and Tuition Agreement*I have read and agree with the Raintree Calendar and the Tuition/Fee Schedule.Signature*Date Date Format: MM slash DD slash YYYY Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Thank you for choosing Raintree!
