PRE-ENROLLMENT APPLICATION CHARLOTTE BILINGUAL PRESCHOOL
Thank you for your interest in sending your child to Preschool ! Please complete this entire application and attached the necessary documents :

* Copy of child's birth certificate
* Copy of proof of residence (e.g. power bill or other bill that has your name and address)
* Income report (e.g copy of tax return, or pay stubs, or letter from employer)

We serve 3.4 and 5 years old. For the 3 year old classrooms your child must be 3 years old by August 31 2018 to be considered for the 2018-2019 school year.

Seats are limited. Application doesn't guarantee enrollment. We are happy to help you to complete this form just call us or come by.

Charlotte Bilingual Preschool
6300 Highland Ave. Charlotte NC 28215
Tel: (704) 535-8080 Fax: (704) 535-1068
www.bilingualpreschool.org

IMPORTANT NOTE:
CHARLOTTE BILINGUAL PRESCHOOL DOES NOT HAVE TRANSPORTATION FOR THE CHILDREN.

CHILD'S INFORMATION
Please complete the information for the child that will attend our Preschool
Name(s) *
Your answer
Last name (s) *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Sex *
Siblings ages
Please type all the ages for the siblings living at home.
Your answer
Number of adults in the family *
Your answer
What language does your family speak most of the time
Are your child's vaccinations up to date *
If your answer is No please explain in
If your answer to the previous question was NO Please explain
Your answer
Has your child received any therapies? *
Type of therapy
If your answer to the previous question was yes. Please tell us the name of therapy(ies) that he/she receives(d)
Your answer
We want to serve your child well. Does she/he have any special needs for us to attend? (Medical, Physical, Emotional). Please explain
Your answer
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