Enrollment Form 2026-2027
Please fill out this form and submit your non-refundable registration fee of $100 (prior to March 15), $125 (prior to May 1) or $150 (after May 1).  We accept Cash, Check (payable to Christ Lutheran Preschool) or PayPal (3% processing fee applies - link found on preschool.christlutheranvh.org).  Submit one form per student.
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Child's First Name *
Child's Last Name *
Child's Preferred Name/Nickname
Please Select *
Child's Birthdate *
MM
/
DD
/
YYYY
Street Address *
City *
Zip Code *
Main Contact Name *
Main Contact Relationship To Student *
Main Contact Phone Number *
Main Contact Email *
Secondary Contact Name *
Secondary Contact Relationship To Student *
Secondary Contact Phone Number *
Secondary Contact Email
Additional Emergency Contact Name *
Additional Emergency Contact Relationship To Student *
Additional Emergency Contact Phone *
Referral Name/How did you hear about us?
Siblings/ages
Religious Affiliation (optional)
What school district will your child attend?
Up Next: Class Options
On the next page, you will select desired class and days of the week enrollment.
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