To register, complete the online registration form below or click here to print and mail your application. For more information call Director Barbara Stern at (516) 484-4217 or email JIB823@aol.com.

Child's Name:
Telephone:
Address:
City:
State:	Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming
Zip:
School:
Grade:	Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade
Parent's Name:
Business Telephone:
Enrollment Days:	Monday Tuesday Wednesday Thursday Friday