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Mini Sinai Daycare Center Application

If you are looking to register only for the summer session (June 2022-August 2022) and not the September 2022-June 2023 school year, please email us at daycare@mtsinaishul.com.

Please note: Children must be at least 6 weeks old and under 24 months by September 1st, 2022 to enroll in the 2022-2023 school year program.

*Currently our infant room is full. Please email daycare@msjc.org to be added to the waitlist or to find out when the next available spot will be available. 



*Please note, registration is $200 and is not applied to tuition. This saves your spot and is non-refundable. 
*If registering for more than one child, a separate application must be filled out. 
* If child is not-yet born, please provide expected date. 
(i.e. home, nanny,another program)
*Check all that apply

All children must have this medical form filled out by their child's physician to begin in the program: 
New York State Health Care Form
Please email to daycare@mtsinaishul.com prior to start date. 

Emergency Contacts:
We will always try the parents first. Please list two other emergency contacts if parents are unable to be reached. Please note, emergency contact #1 must be local. 

Authorized pick-up 
Please include name & phone number

In order to take every possible safety measure at dismissal, we require that each person, other than a parent, authorized to pick up your child be known to the director. In the event that someone not listed below will be picking up your child, please call the office before dismissal. 

In addition, this must be filled out to keep on your child's file and must have original signature: OCFS-LDSS form.
Please email to daycare@mtsinaishul.com prior to start date. 

Mon, August 15 2022 18 Av 5782