Barnard Center for Toddler Development Admissions for 2019-2020

Applicant Information

To be eligible for admissions, your child's birthdate must be between
November 1, 2016 and January 31, 2018

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* 1. Child's First Name:

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* 2. Child's Last Name:

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* 3. Child's date of birth:

DOB

Date

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* 4. Child's gender:

Male

Female

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* 5. Parent 1:

First & Last Name:

Street Address:

City, State:

Zip:

Phone:

Email:

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* 6. Parent 2:

First & Last Name:

Street Address:

City, State:

Zip:

Phone:

Email:

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* 7. Is a parent employed by Barnard College?

Yes

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* 8. If yes, please specify which department at Barnard College:

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* 9. Is a parent a Barnard College alumna?

Yes

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* 10. Are you a returning Toddler Center family?

Yes

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* 1. Child's First Name:

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* 2. Child's Last Name:

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* 3. Child's date of birth:

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* 4. Child's gender:

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* 5. Parent 1:

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* 6. Parent 2:

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* 7. Is a parent employed by Barnard College?

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* 8. If yes, please specify which department at Barnard College:

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* 9. Is a parent a Barnard College alumna?

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* 10. Are you a returning Toddler Center family?

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* 11. If yes, please write sibling name(s) here: