2019-2020 Cornerstone Preschool Registration
**PLEASE NOTE -- OUR PROGRAM ENROLLMENT IS CURRENTLY FULL FOR THE 2019-2020 SCHOOL YEAR**

Preschool registration for the 2020-2021 school year will open up in February 2020.

If you would like to be placed on a "WAITING LIST" for this current year please fill out the fields below and our director will contact you when a space opens up in our program. You may contact our Preschool Director, Meg Ball with any questions:
email: meg@thecornerstone.org
phone: 815-933-3890
Student's First and Last Name *
Your answer
Parent/Guardian Name *
Your answer
Relationship to Student *
Your answer
Parent/Guardian Name *
Your answer
Relationship to Student *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Student's Gender *
What does student want to be called (ie nickname) ? *
Your answer
Age of Child (when school begins) *
Required
FIRST Choice of Enrollment (Please note: Your first and second choice of enrollment is given based upon program availability at the time of registration, on a first come - first served basis. *
SECOND Choice of Enrollment (Please note: Your first and second choice of enrollment is given based upon program availability at the time of registration, on a first come - first served basis. *
Child's Birthdate *
MM
/
DD
/
YYYY
List any and all allergies your child may have that we should be aware of (ex: food, dairy, seasonal, medicine, etc.) *
Your answer
How did you hear about Cornerstone Preschool? *
If you were referred to Cornerstone Preschool by a friend or family member please list their name below so we may thank them.
Your answer
Please enter the way in which you would like your child to write their first and last name. *
Your answer
Submit
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