Welcome
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About your Child
Name
First
Middle
Last
Jr
Sr
II
III
IV
Suffix
Preferred Name
Gender
Date of Birth
mm/dd/yyyy
School Experience
Does your child currently attend a school program?
Yes
No
School Name
Interested in Grade
Nursery
For the Fall of
2026-2027
2027-2028
2028-2029
About the Parent/Guardian
Name
Mr.
Mrs.
Ms.
Dr.
Title
First
Middle
Last
Jr
Sr
II
III
IV
Suffix
Preferred Name
Relationship to Student
Mother
Father
Parent
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Preferred Phone Number (xxx-xxx-xxxx)
Cell
Home
Work
Type
Number
Email
Mailing Address
Thanks for reaching out! Out of curiosity...
How did you hear about 92NY Nursery School?
Friend/Word of Mouth
Independent Research of Nursery Schools
92NY Staff Referral
My child is the sibling of a current or former 92NY Nursery School student
One or both of my child's parents attended the 92NY Nursery School
Other
Please specify
