Shirley G. Moore Laboratory School Application

Institute of Child Development
University of Minnesota – Twin Cities
51 East River Parkway, Minneapolis, Minnesota 55455
You MUST Submit before leaving this form or ALL entries will be lost.
Enter all dates in the format mm/dd/yyyy
There is a $75 per child non-refundable application fee.
Applications and fees must be recieved by February 28, 2018.

Child

Please use the child's full name (example: use Joseph not Joe)
Gender *
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Programs

Two year olds, 8:30 - 11:30 a.m.
 
2-day mornings: Tuesday/Friday - for children 24 - 29 months old by next September 1
 
3-day mornings: Monday/Wednesday/Thursday - for children 30 - 35 months old by next September 1
 
Select the class you are applying for from the drop-down menu below

Multi-age - for children 3 years – 4 years 11 months old by next September 1
 
3-day afternoons: Monday/Wednesday/Thursday from 12:30 - 3:30

Select the class you are applying for from the drop-down menu below

Tour

Have you had a tour of the Lab School? *
If you selected 'No' you will be contacted by our office to set up a tour.

Parent or legal guardian

Mailing address (for receiving Lab School communications):
Enter telephone numbers as 10 digits with no other characters

Parent or legal guardian

Mailing address if different from mailing address given above
Enter telephone numbers as 10 digits with no other characters

About your family

Please complete the following. If none enter none.
The Lab School makes every effort to meet the needs of all children enrolled in our programs. Detailed information regarding your child’s needs, interests, and abilities will be gathered before your child begins school.
 Your family
List your child's special educational or health needs, if any
If you previously had a child/children attend the Lab School, list the name(s)
If any adult member of your immediate family ever attended the Lab School, list names and relationship
How did you hear about our program?

Parent or legal guardian signature

The Lab School must receive the $75 per child non-refundable application fee by February 28, 2018 in order for your application to be considered for the 2018-2019 school year. The fee covers administrative costs and does not guarantee placement at the Lab School. If the application fee presents a financial hardship or you receive state or University child care funding, please contact our office for information about a fee reduction/waiver.

We will send an email within 5 business days to confirm receipt of your application and provide instructions on how to pay the application fee.

Parents/guardians of children selected will be notified between March 5 - March 31, 2018. A $200 per child non-refundable enrollment fee is due within 10 days of the placement offer. 

Please enter your full name which serves as your electronic signature.
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