Child's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Sex *

Male

Female

Which Family Annex class are you applying for? *

Toddlers (Ages 1.7 - 2.7) - as of 09/01/21, child is between 1 year, 7 months and 2 years, 7 months

Nursery (Ages 2.8 - 3.8) - as of 09/01/21, child is between 2 years, 8 months and 3 years, 8 months

Pre-K (Ages 3.9 - 4.9) - as of 09/01/21, child is between 3 years, 9 months and 4 years, 9 months

Name *

First Name

Last Name

Address

(if different from child's)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Are you a student at Columbia? *

Yes

No

Are you employed by Columbia? *

Yes

No

Business Telephone *

(###)

###

####

Name

First Name

Last Name

Address

(if different from child's)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Are you a student at Columbia?

Yes

No

Are you employed by Columbia?

Yes

No

Business Telephone

(###)

###

####

Programs *

Monday - Friday (5 day) 8:00 - 12:45

Monday - Friday (5 day) 8:00 - 3:30

Monday - Friday (5 day) 8:00 - 5:45

Do you wish to apply for tuition reduction? *

If yes, please complete the separate Application for Financial Aid through SmartTuition.com

Yes

No

Early Decision

Early decision consideration may be requested by Columbia affiliated families or siblings of former students. This is applicable to any 5 day space. If we are not able to offer early decision due to over enrollment, children will be considered for general admissions. To be considered for early notification, applications must be received by December 1.

I wish to be considered for early decision

I DO NOT wish to be considered for early decision