PLEASE VERIFY THAT YOUR CHILD'S BIRTHDAY FALLS ON OR BEFORE September 1, 2018
If not, please return to the previous page and find the correct form.
Student's Date of Birth
Child's birthday must fall on or before September 1, 2018
Best Contact Phone #
This is the number we will call first if an opening arises. Format: 123-456-7890
Student's Last Name (Family Name)
Student's First Name (Given Name)
Which school-year are you interested in?
School years run from August to May. Our PreK Classes are typically full. If you are interested in this current school year, please click that box. If you are only interested in next school year (starting in August) then only click that box. If you are interested in BOTH, then please just click "CURRENT" and you will remain on the list for next school year as well, whether or not you get a spot in our classrooms this year. Thank you.
NEXT School Year
Parent Additional Contact Info
Please include additional phone #'s, email addresses, and mailing address
Please list first names of siblings & age/grade
How did you hear about us?
Parent of Current or Former student
I am Seventh-day Adventist
Comments, Questions, or Notes:
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