180 North Village Ave.
Rockville Centre, NY

(516) 536-5674

Those interested in making an initial inquiry about enrolling your child at
the Rosa Lee Young Childhood Center can fill out the form below:

Parent's Name

Address

 

City

State

Zip Code

E-Mail Address

Daytime Phone

Please have a social worker call me.
Please have a social worker e-mail me.

Child's Name

Date of Birth

Gender

Male Female

Program

Toddler Pre-K Kindergarten School-Age

Desired Enrollment Date

Questions/Comments


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