Please note: Submitting this form is an inquiry only. A member of our team will contact you to schedule a tour, and if you choose to join the waitlist after your tour, a $100 deposit will be collected at that time. Thank you for your interest in the Gordon JCC ECLC.

Child's Name
Parent's Name
Child's Birthdate
Age of Child at Date of Application
Phone Numbers: Home/Work/Cell
Address
Email
Religious Affiliation
Desired Enrollment Date
Please check the days preferred for 8:30 a.m. to 3:00 p.m. program:
5 day program Monday - Friday (Infants and PreK must attend 5 day program)
3 day program Mon/Wed/Fri
2 day program Tues/Thurs
Extended Care: Please check the categories if needed:
Morning Care 7:30 a.m.-8:30 a.m. 2 day
Morning Care 7:30 a.m.-8:30 a.m. 3 day
Morning Care 7:30 a.m.-8:30 a.m. 5 day
After Care 3:00 p.m.-4:30 p.m. 2 day
After Care 3:00 p.m.-4:30 p.m. 3 day
After Care 3:00 p.m.-4:30 p.m. 5 day
After Care 3:00 p.m.-5:30 p.m. 2 day
After Care 3:00 p.m.-5:30 p.m. 3 day
After Care 3:00 p.m.-5:30 p.m. 5 day
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