Enrollment: Inquiring

1. Parent Name *

First

Last

2. Parent Name *

First

Last

Parent Marital Status (Select One) *

1. Child’s Name *

First

Last

Date of Birth *

2. Child’s Name *

First

Last

Date of Birth *

3. Child’s Name *

First

Last

Date of Birth *

Has your child(ren) been in Preschool or Childcare before? *

Yes No

Is your child(ren) immunized? *

Yes Yes, but on a delayed immunization plan No

What days of the week are you in need of Preschool? Please Note: Odyssey offers 2, 3, 4 or 5 day/wk. *

Are you flexible in regards to these days? *

Yes Possibly No, I need these exact days

Why are you looking for Preschool for your child(ren)? *

Is there anything special you would like to share about your child(ren) or your family? *

Have you read the ‘About us’, 'Environments’, ‘Giving Back Program’ tabs of the Odyssey website? *

Yes No

Where did you hear about Odyssey Preschool? *

Inquiring/Prospective ParentsIf you have read through the general information, please fill this form out about your family & preschool-aged child(ren). (*) are required.