APPLICATION When Are You Thinking?* I need my kid out of the house... like now. 2023-2024 2024 and Beyond (I'm a Planner) Campus* Santa Monica Los Angeles Irvine Manhattan Beach Program*Please select the age range for which your child will be by September 1st. Don't be sneaky. Transition (18 months - 2 years) Preschool (2 years - 4 years) Pre-K (4 years - Kindergarten Entry) Program*Please select the age range for which your child will be by September 1st. Don't be sneaky. Transition (18 months - 2 years) Preschool (18 months - 4 years) Pre-K (4 years -Kindergarten Entry) Program | MB*Please select the age range for which your child will be by September 1st. Don't be sneaky. Transition (18 months - 2 years) Preschool (18 months - 4 years) Pre-K (4 years -Kindergarten Entry) Preferred Schedule*Please check all that apply. Early Care: 8:15am-9am Preschool Program: 9am-2pm Extended Care: 2pm-5pm Preferred Schedule* 8:30am-2:30pm 8:30am-5:30pm Child's First Name* Child's Last Name* Child's Date of Birth* MM slash DD slash YYYY Child's Gender* Male Female What type of education are you considering for Kindergarten?* Public Private Not Sure Private school applicant information:* We will be a new family applying to schools. My child has sibling status. Our family has alumni status. We are currently affiliated with the following school:* How did you hear about Piper?* Were you referred?* Yes No Who referred you?* Do you have a current affiliation with Piper?Check all that apply. Yes, we are attending classes at Piper. Yes, we are friends of a Piper family. Yes, we are alumni! Newbie... can't wait to meet everyone. Parent A First Name* Parent A Last Name* Parent A Phone*Parent A Email* Enter Email Once more for the people in the back. Parent A Occupation* Parent A 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 Is there another parent in the picture?* Yes No Parent B First Name* Parent B Last Name* Parent B Phone*Parent B Email* Enter Email Come again? Parent B Occupation* Parent B Address (if different from Parent A) 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 Siblings?* Yes No Sibling's Name Sibling's Date of Birth MM slash DD slash YYYY School Attending More Siblings?* Yes No Sibling's Name Sibling's Date of Birth MM slash DD slash YYYY School Attending Sibling's Name Sibling's Date of Birth MM slash DD slash YYYY School Attending Family Status* Married Partners Divorced Courting It's Complicated Unfriended I'm Not Sure Where They Are Anymore Does your child have any health concerns or special needs?* Yes No Health Concerns or Special Needs* Is your child receiving any services (OT, Speech, etc.) or have they in the past?* Yes No How do you think you will handle separation?* High-Five Moonwalk out while smiling. Lurk Helicopter Cry Profusely Who best describes your child?* Mitch Hedberg Julio Iglesias Betty White Mahatma Gandhi Marie Curie Beyonce Rate Your Crazy* 1) Not at all. 2) Who me? Not at all. 3) I'm pretty easy going. 4) I have my days. 5) Some might say that I have my days. 6) I collect stuffed animals. 7) I have more than 3 cats. 8) Why are you asking? Did you talk to someone? 9) No really, did you talk to someone? Just tell me their name. Who was it?! 10) I don't have children. You got front row sold-out tickets for Harry Styles... new sitter... your child begins a quick dramatic spiral. You are more likely to:* Kiss your finger, touch their forehead, and dash. "Watermelon Sugar" is only great live. Explain that we really need this night together because Harry's smile gives me chills. Tuck them in, then leave. Start crying, apologize for ever thinking of going, and let them sleep in your bed. All of the above? If you’re offered a spot at Piper but the schedule isn’t what you prefer, you are more likely to:* Hey man… pfffft, no worries. I'm just happy to be here. Gladly accept, but request to be put on your waitlist. I know it's nothing personal. Internalize, then call my BFF and cry about how the world is always against me. Politely decline. I just can't make it work... pinky swear. What's in front of you right now?*How would you like to be involved in the Piper Preschool Community?*Anything else you'd like us to know?Preschool Application Fee* Preschool Application Fee ($150) Upload A Family Photo*Max. file size: 3 MB.Super Secret Code Total $0.00 Credit CardCard Details Cardholder Name Email*
