Nominate Your Child Now for ECAP Academy Admission

Child's Full Name

Day

Year

Birthday: Month

Street Address:

City:

State:

Zip Code:

Parent/Guardian #1 Name:

E-Mail Address:

Home Phone:

Preferred contact number

Cell/Alternate Phone:

Preferred contact number

Parent/Guardian #2 Name:

Not Applicable

Program Requested:

Academic Year

Pre-K or Kindergarten (half day) A.M.

2 day - (Tues & Thur)

3 day - (Mon, Wed, & Fri)

5 day - (Mon-Fri)

8:30 a.m. to 11:30 a.m.

Pre-K or Kindergarten (half day) P.M.

2 day - (Tues & Thur)

3 day - (Mon, Wed, & Fri)

5 day - (Mon-Fri)

12:30 p.m. to 3:30 p.m.

3 day - (Mon, Wed, & Fri)

5 day - (Mon-Fri)

Kindergarten (full day)

2 day - (Tues & Thur)

First Grade (full day)

5 day - (Mon-Fri)

Leading the way in Identification and Individualized Instruction Through Independent and Emergent Thinking

Use this form to nominate your child. We will contact you as soon as possible. This usually will occur within 3 days.

Nominate Your Child for ECAP Academy

Paige Academy -