2025-2026 Purchase Children's Center Enrollment Application

Fill out the Purchase Children's Center application below and click "Update Changes" at the bottom of the form to continue.

Last:

First:

Birthdate:

Street:

City:

State: Zip:

Home Phone:

Gender: Boy / Girl

Toilet Trained? Yes / No

Special Requests:

Allergies, Medical Conditions, or Special Needs if any?

Will child require an Epipen at camp? Yes / No

Please choose your desired program below:

Teddy Bears Two Year Old Program (2023 Birthdays) The Teddy Bears class is full. Please call 914-949-2636 for waitlist information.
	5 Days/Monday-Friday 9:00am to 11:30am $12,990
Optional Lunch Bunch begins in January 11:30am - 12:30pm. Families will be contacted at the beginning of the school year about optional Lunch Bunch.

Ducks and Chicks 3 & 4 Year Old Program (2021 & 2022 Birthdays) The Ducks & Chicks class is full. Please call 914-949-2636 for waitlist information.
	5 Days/Monday-Friday 8:45am to 11:45am $12,945
	5 Days/Monday-Friday 8:45am to 1:15pm $15,540

Lions and Tigers 3 & 4 Year Old Program (2021 & 2022 Birthdays) The Lions & Tigers class is full. Please call 914-949-2636 for waitlist information.
	5 Days/Monday-Friday 9:00am to 1:30pm $15,540
	Extended Day Option: 5 Days/Monday-Friday 9:00am to 3:30pm $22,710
	Full Day Option: 5 Days/Monday-Friday 9:00am to 5:30pm $26,320

Sharks and Guppies 3 & 4 Year Old Program (2021 & 2022 Birthdays)
	5 Days/Monday-Friday 8:30am to 1:00pm $15,540
	Extended Day Option: 5 Days/Monday-Friday 8:30am to 3:30pm $23,380
	Full Day Option: 5 Days/Monday-Friday 8:30am to 5:30pm $26,990

Please type in second Program Choice if first choice cannot be accomodated (optional):

Mother or Guardian Contact Information:

Name:

Address (if different from student):

Cell Phone:

Business Phone:

Home Phone (if different from student):

Email Address:

Father or Guardian Contact Information:

Name:

Address (if different from student):

Cell Phone:

Business Phone:

Home Phone (if different from student):

Email Address:

Approve Release Form

I agree to all the conditions in the Release document below. (Click to enlarge)

Approve Enrollment Policies

I agree to all the conditions in the Enrollment Policies document below. (Click to enlarge)