Registration & Forms

Beginning January 17, 2017, please use the form below to register for 2017-18 ECDC programs and to submit your registration fee using a credit card or Paypal account. Or, print the ECDC Registration Form 2017 and mail/drop it off at the office with your payment check.

Registration Form

Child's Name
Name Child responds to
Birthdate
Gender
- Male
- Female
Address
Street Address Address Line 2 City State ZIP Code
Home Phone
Email
Parents Name
First Last
Cell Phone
Parents Name
First Last
Cell Phone
Temple Emanuel Member?
- Yes
- No
Would you like to learn about joining?
- Yes
Indicate 1st and 2nd Choice

Classes will be offered only if minimum enrollment is met.
First Experience
9 - 11:00 Mon 9 - 11:00 Wed
2 year Olds
9 - 11:30 T & TH
3 Year Olds
9 - 11:30 M/W/F 12:45 - 3:15 M/W/F
3 Year Olds - 5 Day
9 - 11:30 M/T/W/Th/F
4 Year Olds
9 - 11:30 T/W/TH/F 12:45 - 3:15 T/W/TH/F
5 Day 4 Year Olds
9 - 11:30 M/T/W/TH/F
Transition
9 - 11:30 5-Day M/T/W/TH/F
Kindergarten Enrichment
12:45 - 3:15 M/W 9 - 11:30 T/TH 12:45 - 3:15 T/TH
Registration Fee*
Price: $60.00 Quantity:

Other Forms

Intake form

Child Health Report

Emergency Contact Form

TEMPLE EMANUEL

Temple Emanuel

Is to preserve, strengthen, and realize the sacred principles and practices of Judaism.

Registration & Forms

Registration Form

Other Forms