Milton Preschool Learning Center Registration Form 2019-2020
We’re excited that you are interested in the Milton Preschool Learning Center and look forward to serving your family! After filling out the form below, a $40 registration fee is required to hold a place for your child this Fall. Additional forms will also be required prior to your child beginning preschool. The registration fee may be brought to the church office (241 Northside Dr.) or mailed to the PO address below. Please make checks payable to Milton United Methodist Church. We are happy to answer any questions. Just contact the church office at 608-868-2860 from 8:30 am to 12:15 pm. or send us an e-mail: miltonunitedmethodist@gmail.com

Mailing Address: Milton UMC MPLC
PO Box 158
Milton, WI 53563-0158

Child's Name (First and Last) *
Your answer
Date of Birth (mm/dd/yy) *
Your answer
Gender *
Parent / Guradian Name(s) (First and Last) *
Your answer
Address (including City, State & Zip Code) *
Your answer
Phone Number (best to use) *
Your answer
Alternative Phone Number
Your answer
Email Address (for staff use only; will not be shared) *
Your answer
Emergency Contact #1 (Name and Phone Number) *
Your answer
Emergency Contact #2 (Name and Phone Number)
Your answer
Class Choice *
Required
Days child will attend per Week *
Required
The morning preschool class (9:00-11:30am) is currently full. Please check below if you would like to be put on a waiting list for the morning class.
I will... *
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