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Colbert Presbyterian Church Cooperative Preschool Registration
A permission form and registration fee ($50) is required to complete your child's registration. Once we have received the form, we will contact you with further information and payment options. Please don't hesitate to call if you have any questions (509-468-9923).
Email address *
Child's Name *
Your answer
Child's Birthdate *
Your answer
Name of Parent and/or Guardian *
Your answer
Additional Email (if desired)
Your answer
Address *
Your answer
Mobile phone number *
Your answer
Home phone number
Your answer
Will your preschooler be enrolling in kindergarten in 2019-2020? If so, where?
Your answer
Are your preschooler's immunizations up to date?
Your answer
Do you have younger children who will be joining us at preschool? If so, please include names and ages (right now, we only have nursery available on Thursdays but might be able to add another day for an additional fee).
Your answer
How did you hear about Colbert Co-Op Preschool?
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Adults [other than parent(s)/guardian(s) listed above] who are authorized to assist in bathroom:
Your answer
Adults [other than parent(s)/guardian(s) listed above] who are authorized to drop off and pick up my child(ren):
Your answer
Additional Information (allergies, special concerns, comments)
Your answer
Emergency Contact (name and phone number) *
Your answer
A copy of your responses will be emailed to the address you provided.
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