Grace United Methodist Preschool Interest Inquiry / Waiting List Application
Please submit an application for each child.
Child's Name *
Your answer
Child's Age *
Your answer
Birth Date or Due Date *
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DD
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Parent or Guardian First Name *
Your answer
Parent or Guardian Last Name *
Your answer
Parent or Guardian Best Phone Number *
Your answer
Parent or Guardian Alternate Phone Number *
Your answer
Parent or Guardian Email *
Your answer
Second Parent or Guardian First Name
Your answer
Second Parent or Guardian Last name
Your answer
Second Parent or Guardian Best Phone Number
Your answer
Second Parent or Guardian Alternate Phone Number
Your answer
Second Parent or Guardian Email
Your answer
Preschool Programming, 9am-2pm hours only
Preschool’s Extended Hours Program
Extended Program estimated arrival:
Example: 7:00 am
Time
:
Extended Program estimated pick up:
Example 4:00 pm
Time
:
Desired Enrollment Date: *
MM
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DD
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YYYY
How did you hear about our program? *
Your answer
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