Application Applications are now being accepted for the 2023/2024 school year. "*" indicates required fields Parent's Names* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneEmail* Religion* Catholic Non-Catholic Parish* How many children are you registering?* One Child Two Children Child InformationChild's Name* First Last Birthdate Month Day Year Boy or Girl* Boy Girl Is your child the sibling of an enrolled or previously enrolled child at St. Timothy ECLC?* Yes No Which class is your child registering for?* EC3, 5 Day Class (8:30-12:15) EC3, 3 Day Class MWF (8:30-12:15 Wait List Only) EC3, 2 Day Class TTH (8:30-12:15 Wait List Only) PK4A, 5 Days (8:30-2:30) PK4A + Extended Care (7:30-2:30) PK4B, 5 Days (8:00-12:15) PK4C, 5 Days (8:30-12:15/144 Days) Other Enrollment Fee Price: $150.00 Quantity: Enrollment Fee Price: Second Child InformationChild's Name First Last Birthdate Month Day Year Boy or Girl? Boy Girl Is your child the sibling of an enrolled child? Yes No Which class is your child registering for? EC3, 5 Day Class (7:30-1:00) EC3, 5 Day Class (8:30-12:15) EC3, 3 day MWF (8:30-12:15) EC3, 2 day TTh (8:30-12:15) PK4 (7:30-3:30) PK4 (8:30-2:30) PK4 (8:00-12:15) 2nd Child enrolled at St. Timothy ECLC Price: Do you have a child enrolled in Mother Teresa Catholic School? Yes No Total CommentsThis field is for validation purposes and should be left unchanged.