Enrollment – Request Information - Palisades Jewish Early Childhood Center PJECC

Please fill out this form to inform us of your interest in the school and to learn more about us. We will respond by contacting you and sending you a packet for you to learn more about the school. If you have any questions, please don’t hesitate to contact us at 310-454-7781 or email info@pjecc.org.

Child's First Name(s): *

Child’s Last Name: *

Child's date of birth(s): *

Gender(s): *

Applying Parent's First Name(s): *

Applying Parent's Last Name: *

2nd Parent's First Name(s): *

2nd Parent's Last Name (if different):

Email *

Street Address: *

City, State *

Zip Code: *

Phone: *

Desired start date: *

How did you hear about us? *

I would like more information about:

Infant Center

Two - Five Year Olds

Prefer to be contacted by email or phone?

Phone

Comments:

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Thank you! One of the best compliments we can receive is a testimonial from you about your experience with our center. Can you please take a few minutes to leave a review on one or all of these sites?

PLEASE TAKE A MOMENT TO REVIEW YOUR EXPERIENCE AT PALISADES JEWISH EARLY CHILDHOOD CENTER. YOUR FEEDBACK HELPS US CONTINUE TO IMPROVE AND IS GREATLY APPRECIATED!