Early Learning Academy Registration
- Child must be four years old before enrollment start date.
- Child must be toilet trained.
- Early bird special: Register before July 1st and receive $20 off of first month's tuition.
- First month's tuition due August 15th.
- For more information about the program or scholarships please email lleonard@idaho.church.
Child's Name
Your answer
Nickname (Goes By)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Your answer
Gender
Lives with
Name(s) and Age(s) of Siblings
Your answer
Has your child had previous daycare or preschool experience?
If your child has had previous preschool experience, please indicate where and when.
Your answer
Does your family attend church?
If your family attends church, please indicate where.
Your answer
Are you currently or planning to home school your child?
If you are home schooling, please indicate the curriculum that you plan to use.
Your answer
Does your child have any allergies or medical conditions we should be aware of?
Your answer
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