Register your child

Child's name DOB*  M F
Child's name DOB  M F

Address

Phone

Email Address

Mother's name

Father's name

Program Requested

 Infant Toddler Advanced Toddler Pre-school Pre-K (4 by Sept 30th) Kindergarten Enrichment (5 by Sept 30th)

Requested schedule

Child 1 Name  M T W Th F
 Half Day Enrollment* Full Day Enrollment

Child 2 Name  M T W Th F
 Half Day Enrollment* Full Day Enrollment
*Half-day rate applies 8:45 am – 12 pm

Please send registration fee to:

Ages & Stages

attn: Lynly Loffredo 

499 Main Street

Hampstead, NH 03841

Filling out form does not guarantee placement. Once registration fee is received your child's acceptance will be confirmed via a phone call.