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 firstname.lastname@example.org.
Nickname (Goes By)
Date of Birth
Name(s) and Age(s) of Siblings
Has your child had previous daycare or preschool experience?
If your child has had previous preschool experience, please indicate where and when.
Does your family attend church?
If your family attends church, please indicate where.
Are you currently or planning to home school your child?
If you are home schooling, please indicate the curriculum that you plan to use.
Does your child have any allergies or medical conditions we should be aware of?
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This form was created inside of Mountain Springs Church.