Trinity Preschool Mount Prospect Registration Form for New Families 2021-22
Please submit one registration form for each student.
Email *
Student's first name *
Student's last name *
Student's preferred name
Date of birth *
MM
/
DD
/
YYYY
Gender *
Required
Student's street address *
Student's city *
Student's zip code *
Parent/guardian #1: First name *
Parent/guardian #1: Last name *
Parent/guardian #1: Relationship to student *
Parent/guardian #2: First name
Parent/guardian #2: Last name
Parent/guardian #2: Relationship to student
Preferred contact number (XXX-XXX-XXXX) *
Name of preferred contact *
Preferred contact's relationship to student *
Secondary contact number (XXX-XXX-XXXX) *
Name of secondary contact *
Secondary contact's relationship to student
Additional email address(es): We do most of our communication via email. Please include any email addresses (in addition to the address provided above) that you wish to be included in preschool communication. Email addresses will not be shared with anyone and will only be used as a means of communication between preschool staff and parents.
I wish to enroll my child for the following class: (Please note: Director reserves the right to place child in appropriate class according to age.) *
Required
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