Highlands Village
574 Allen Road
Basking Ridge, NJ 07920
908.326.6919

Highlands Village
574 Allen Road, Basking Ridge, NJ 07920
908.326.6919

Pre-Enrollment Questionnaire

Pre-Enrollment Questionnaire

Pre-Enrollment
Questionnaire

IMPORTANT! Please verify that all information is correct before clicking the "Submit" button. If you have any questions, please contact Tiny Turtle Academy at 908-326-6919 or This email address is being protected from spambots. You need JavaScript enabled to view it.. Thank you!

* Indicates required field

Full Name*
Please type your full name.

Email Address*
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Confirm Email address*
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Daytime Phone*
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Evening Phone*
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Mother's Name*
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Father's Name*
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Child's Name*
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Street Address 1*
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Street Address 2
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City*
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State*
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5-Digit Zip Code*
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Child's Birthday/Due Date (mm/dd/yyyy)*
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(to use popup calendar, click to expand, click again to collapse)

Name(s) of additional children you want to enroll (please separate names with commas)
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When are you interested in starting classes? (mm/dd/yyyy)*
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(to use popup calendar, click to expand, click again to collapse)

Program of Interest*
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Is your child currently enrolled in a center?*
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Are you interested in Kindergarten?*
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Questions/Comments
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Type the letters*
Type the letters   Get different textREQUIRED!