ELI Community Preschool 2300 Northpoint Parkway, Santa Rosa, CA, 95407, (707) 591-0170 I am applying for: Wednesdays, 1pm-4pm Child's Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent/Guardian's Name * First Name Last Name Address if different than Child's Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Number Primary Language Thank you!