Oceanearly Online Application Form


Printable Forms
Application Form
Camp Registration
Swimming Lessons

Tuition Fees
Kindergarten Fees
School Year Fees
Camp Fees

Student's Name:
Age: Date of Birth: 
Street Address:
City, State, Zip: ,
Father' Name:
Mother's Name:
E-Mail:
Mother's Phone:
Father's Phone:
Allergies:
Enroll in:
If Other:

Other than parent, whom shall we contact in case of emergency?  
Relationship:          Phone #:  
Restriction on Pick Up  (if any))  
The following can pick up my child:
Name:    Relationship:  
Name:    Relationship:  
Name:    Relationship:  

I hereby enroll
   in Ocean Early Childhood Center subject to acceptance and school regulations.
Name of the person submitting this form: