Childcare/Preschool Interest Form
Please fill out this form if you are interested in childcare or preschool here at St. John's. If you are ready to sign up your child, please fill out the registration form located on the website.
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Child's Full Name (first, middle initial, last) *
Child's Gender *
Child's Date of Birth *
MM
/
DD
/
YYYY
List any existing medical conditions, allergies, medications and/or special attention your child may require. *
Please check the Program your child will be attending. *
Required
Days Attending - Minimum 3 days scheduled per week to hold your place. *
Required
Parent/Guardian Name *
Address *
Phone Number *
Email *
How did you hear about us? *
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