Welcome to the UCiC School & Learning Center
Enrollment Request Form
Campus
Bothell
Issaquah
Child/Children #1
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Child/Children's First Name(s)
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Child/Children's Last Name(s)
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What is your child's birthday?
What program are you looking to join?
Infant (6 Weeks - 12 Months)
Preschool Full-Time (3 years old by Aug. 31st)
Pre-K 4-Hour (4 years old by Aug. 31st)
Waddler (12 - 18 Months)
Preschool 4-Hour (3 years old by Aug. 31st)
Pre-K Full-Time (4 years old by Aug. 31st)
Toddler (18 - 36 Months)
Elementary (K-5th)
Parent/Guardian #1 (Primary)
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Parent/Guardian First Name
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Parent/Guardian Last Name
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Parent/Guardian Email Address
Sorry email is already registered as a guardian
Parent/Guardian #2 (Secondary)
Emergency Pickup only
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Parent/Guardian First Name
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Parent/Guardian Last Name
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Parent/Guardian Email Address
Sorry email is already registered as a guardian