Little Millers Preschool (LMP) Application 2019-20
Email address *
Today's Date *
MM
/
DD
/
YYYY
Student's Last Name *
Your answer
Student's First Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Child's Age as of August 1, 2019 (MUST be 3 by 8/1/19 to enroll for the 2019-20 school year. No exceptions.) *
Gender *
Ethnicity *
Is the child's parent/guardian a current Noblesville Schools' employee? *
If you answered "yes" to question above, what is the name of the employee, job title, and building he/she works?
Your answer
Requested LMP Site *
Parent/Guardian Information:
Full Name *
Your answer
Relationship to Child *
Your answer
Email Address *
Your answer
Cell Phone Number *
Your answer
Work Number
Your answer
Home Number
Your answer
Home Address *
Your answer
City, State Zip Code *
Your answer
FORMS and AGREEMENTS:
Upon notice of acceptance, I understand that I will need to provide the following information to my child's school (check each box in order to continue with the enrollment process): *
Required
I understand that I must agree to the following enrollment terms (check each box in order to continue with the enrollment process): *
Required
Late Pickup Option (NOTE: This option - 6:00 PM pick up - may be dependent on number of students enrolled in late pick up.)
I certify that I am the parent or legal guardian of the child listed above, and I have the legal authority to make the representations and grant the authorizations contained herein. I also understand and agree to the financial obligations and enrollment terms as outlined above. *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Noblesville Schools. Report Abuse - Terms of Service