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
We are accepting applications for limited openings in our 3-afternoons per week program only for the 2018-2019 school year. Children must be ages 3 - 5 years old by September 1, 2018 to enroll.
Classes meet Monday, Wednesday and Thursday from 12:30 - 3:30 p.m. 
 
There is no fee to apply. This application will remain open until all available spaces are filled. 

Child

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

Three-afternoons per week multi-age program: for children 3 years – 5 years old by September 1, 2018.
Classes meet Monday/Wednesday/Thursday from 12:30 - 3:30 p.m.

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

We will contact you within 3 business days to confirm receipt of your application and schedule a time for your family to visit the school. 

A $200 per child non-refundable enrollment fee is due within 10 days of receiving a placement offer and Intent to Enroll form from the school. 

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