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First name
*
Last name
*
Email
*
Child First name
*
Child Date of Birth
*
Please select the location of interest
Please Select
Great South Bay
Huntington
Patchogue
Glen Cove
Please select Full, Extended or Half Day Care
Please Select
Full Day 8:30-4:00pm (For children 2-4 Years Old * Bay shore & Huntington Locations provide programs for 18 + months old.)
Extended 9:00am-2:00pm (Glen Cove & Huntington only)
Half Day (Days/times vary based on location)
Please select number (#) of days per week needed
Please Select
5 Days/ Week
3 Days/ Week
2 Days/Week
If applicable, please select extended hours needed.
AM Care 7:00am-8:30am (Program starts at 6:45 am in Bay Shore & AM Care not available in Glen Cove)
PM Care 4:00pm-6:00pm
AM & PM Care
Please include name(s), DOB, Program desired for each additional child.
Registering Multiple Children in Household for Y Preschool Program
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