Apply to Enroll Nest Application Application for Enrollment Step 1 of 2 50% Step 1: Enrollment Application FormToday's Date MM slash DD slash YYYY Applying for Preschool Kindergarten Gender Boy Girl Child's Name First Last Date of Birth MM/DD/YYYYApplication for (school year)--Make Selection--20222023Have you spoken to a Nest representative? Yes Not Yet If Yes, describe what was discussed?How did you hear about The Nest? Previous School HistoryPrevious preschool history--Make Selection--YesNoIf Yes, how many years ParentsMother's Name First Last Mother's Email Mother's PhoneMother's 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 Father's Name First Last Father's Email Father's PhoneFather's Address Same as Mother's Different Address Father's 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 Parents are--Make Selection--MarriedSeparatedDivorcedWidowedChild Lives With--Make Selection--Mother and FatherMotherFatherOtherGuardian or other designated person who may pick up or drop off your child may be added to our Brightwheel app after your child’s placement is confirmed. Child Lives With "Other" Discribe SiblingsSibling 1--Make Selection--BrotherSisterOptionalSibling 1 Age What school does the sibling attend? Add another sibling Sibling 2--Make Selection--BrotherSisterOptionalSibling 2 Age Add 3rd Sibling Sibling 3--Make Selection--BrotherSisterOptionalSibling 3 Age Grandparent or CaregiverOptionalGrandparent or Caregiver's info (optional) First Last (if someone else will routinely pick up the child)Relationship to child (Caregiver should be entered into our parent software contact information upon enrollment)Grandparent or Caregiver PhoneMedical InfoOptionalYour child’s Doctor First Last Doctor's PhoneAllergiesEmergency ContactsEmergency Contact 1 First Last Contact 1 - PhoneEmergency Contact 2 First Last Contact 2 - PhoneAppointmentRequest to schedule appointment for--Make Selection--TourAssessmentTour & AssessmentBest Contact--Make Selection--Mother's PhoneMother's EmailFather's PhoneFather's EmailStatement of Faith and HandbookStatement of Faith* I agree to respect the Statement of Faith, and the academic philosophy of The Nest Christian AcademyRead Statement of Faith Parent Handbook* I agree to abide by the policies of The Nest, as stated in the Parent Handbook.Read Parent Handbook Child AssessmentHas your children ever been referred to a speech therapist? Yes No If Yes, give details here Have you or anyone who cares for or treats your child ever noticed/reported social or developmental differences, or that they had difficulty learning basic concepts that might impact their learning style? Yes No If Yes, give details here Does your child attend recreation or play dates where the parent is not present? Yes No If Yes, give details here Describe how your child responds to separation from parent:If you feel that we would benefit from and additional information about your child, please enter here:Finalize and SubmitCAPTCHA