Apply for Admission to RCNS

Your Child’s First Name:

Your Child’s Last Name:

Your Child’s Date of Birth:

Your Child’s Gender:

Address:

City:

State:

Zip:

Guardian 1 Name:

Guardian 1 Relation to Child:

Guardian 1 Daytime Phone:

Guardian 1 E-mail:

Guardian 2 Name:

Guardian 2 Relation to Child:

Guardian 2 Daytime Phone:

Guardian 2 E-mail:

Program Preference:

Full Day: 7:30 a.m. – 5:30 p.m.
Half Day Option A: 7:30 a.m. – 12 p.m.
Half Day Option B: 9 a.m. – 1:30 p.m.

Class Your Child Will Enroll In:

Junior Class (3 years old turning 4)
Senior Class (4 years old turning 5)
Master Class (5 years old turning 6)

Year Your Child Will Enroll:

Please List any affiliations you have with the College:

List any siblings and their ages that have gone to RCNS or that plan to:

Verification: