🌟 Enroll for September

Registration Form

Fill out the form below to register your child for September — it only takes a couple of minutes. We'll follow up by phone or email to confirm your spot and next steps.

The Kidz Corner — Registration Form

630-8 Broadway Ave, Holbrook, NY 11741 · (631) 256-5895

Child's Name

Date of Birth

Home Address

Phone Number (Mother)

Phone Number (Father)

Email Address

Program & Schedule

Infant

6 weeks – 18 months

Toddler

18 months – 35 months

Preschool 3's

Entering kindergarten Sept 2028

Preschool 4's

Entering kindergarten Sept 2027

If registering for Toddler, exact age in months as of September 2026

Days You're Selecting

We offer a 5, 3, or 2-day schedule. 3-day schedules are suggested for Mon/Wed/Fri, and 2-day schedules are suggested for Tue/Thu.

Anything else we should know?

Parent / Guardian Signature

By typing your name above, you're digitally signing this registration form. This holds your child's spot — our team will follow up to confirm enrollment and next steps.

Prefer to talk it through first? Call us at (631) 256-5895 or schedule a tour instead.