ECC Interest Form
WELCOME!
We would be delighted to speak with you, or provide an in-person or virtual tour of our Early Childhood Center! Please take a moment to complete this form and we will be in touch.
Thank you!
Your First Name
Your Last Name
Phone Number
Email Address
About Your Child
First Name
Last Name
Date of birth
We proudly offer programming at two locations. Do you have a preference?
Northwest DC at Washington Hebrew Congregation
Potomac, MD at our Julia Bindeman Suburban Center
Either
How did you hear about our ECCs?
Digital ad
ECC family
Print ad
Social media
WHC Newsletter
WHC website
Other
Which family?
Please use this field for any additional information you wish to provide.