Apply for Admission to RCNS Your Child’s First Name: Your Child’s Last Name: Your Child’s Date of Birth: Your Child’s Gender: Address: City: State: Zip: Guardian 1 Name: Guardian 1 Relation to Child: Guardian 1 Daytime Phone: Guardian 1 E-mail: Guardian 2 Name: Guardian 2 Relation to Child: Guardian 2 Daytime Phone: Guardian 2 E-mail: Program Preference: Program Preference: Full Day: 7:30 a.m. – 5:30 p.m. Half Day Option A: 7:30 a.m. – 12 p.m. Half Day Option B: 9 a.m. – 1:30 p.m. Class Your Child Will Enroll In: Class Your Child Will Enroll In: Junior Class (3 years old turning 4) Senior Class (4 years old turning 5) Master Class (5 years old turning 6) Year Your Child Will Enroll: Please List any affiliations you have with the College: List any siblings and their ages that have gone to RCNS or that plan to: Verification: