Welcome to the UCiC School & Learning Center Enrollment Request Form (Issaquah)

Child

Child First Name *

Child Last Name *

What is your child's birthday? * +

What program are you looking to join? *

EARLY PRESCHOOL AM (9:00 AM - 12:55 PM)

EARLY PRESCHOOL PM (1:20 PM - 5:15 PM)

EARLY PRESCHOOL SPLIT DAY (9:00 AM - 12:55 PM) AND (1:20 PM - 5:15 PM)

PRESCHOOL AM (9:00 AM - 12:55 PM)

PRESCHOOL PM (1:20 PM - 5:15 PM)

PRESCHOOL SPLIT DAY (9:00 AM - 12:55 PM) AND (1:20 PM - 5:15 PM)

PRE - K AM (9:00 AM - 12:55 PM)

PRE - K PM (1:20 PM - 5:15 PM)

PRE - K SPLIT DAY (9:00 AM - 12:55 PM) AND (1:20 PM - 5:15 PM)

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *

Emergency Pickup only

Parent/Guardian Last Name *

Parent/Guardian First Name *

Parent/Guardian Email Address *