8. In the event that your child is to enrolled in the above year (question 5), do you wish the application updated for the next year?

Yes

No

9. Please check the 1/2 day program you are applying for and if applicable.

9a. Preferred Program (Select One)	3 days	4 days	5 days
Morning Preschool - Younger Group (8:45 - 11:15)
Morning Preschool - Older Group (8:45 - 11:15)	n/a	n/a
Afternoon Preschool - Mixed Group (12:45 - 3:15)
Afternoon Kindergarten (12:45 - 3:15)	n/a	n/a
9b. Second Choice (Select One)	3 days	4 days	5 days
Morning Preschool - Younger Group (8:45 - 11:15)
Morning Preschool - Older Group (8:45 - 11:15)	n/a	n/a
Afternoon Preschool - Mixed Group (12:45 - 3:15)
Afternoon Kindergarten (12:45 - 3:15)	n/a	n/a

10. Parent/Guardian

	10-a. Full Name
	10-b. Address
	10-c. Phone Number
	10-d. Occupation
	10-d. Employer

11. Parent/Guardian

	11-a. Full Name
	11-b. Address
	11-c. Phone Number
	11-d. Occupation
	11-d. Employer

14. Have you had a previous child attend Gorse Child Study Center?

Yes

No

18. Why do you wish to have your child attend Gorse Child Study Center?

19. Previous group experience?

Lab School Activities:
The children at Gorse Child Study Center work with Mount Holyoke College students and faculty in psychology, education, and other disciplines. These activities include observations, interviews, small group activities and occasional videotaping and photographing. Children's first names, last initials, and birth dates are given to students and faculty doing course assignments, but all other information is handled confidentially.

Please note: Students and faculty will request separate parental permission for children to participate in specific research projects.

20. I give my permission for my child to participate in the lab school activities described above.

Yes

No