CPC Pre-Registration Form 2019
Complete all questions and submit to register.
Child's Full Name:
Date of Birth (please click the down arrow that appears when hovering over mm/dd/yyyy and use the calendar to select):
Parent /Guardian Name (First & Last):
Parent/Guardian Contact Phone Number:
Please indicate preference (check all that apply)
AM Preschool 8:00am-11:00am (Tuition Rates May Apply)
PM Preschool 12:00pm-3:00pm (Tuition Rates May Apply)
Full Day Preschool 8:00am-3:00pm (Tuition Rates Apply)
Full Day Preschool + Afterschool Care 7:30am-5:30pm (Tuition Rates Apply)
1. Fees for Preschool are dependent upon state eligibility for services. 2. Corbin Preschool Center will be contacting you regarding a screening date for your child and additional program information. 3. Class time preference will be considered, but is not guaranteed.(please select "I understand" to acknowledge these statements.)
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