Nazarene Nursery School Registration Form
Before this application is final, a $50.00 non-refundable application fee must be submitted to the office. Please mail to 1401 S. Harrison St., Alexandria, IN. 46001 or go to https://alexnaz.org/nazarene-nursery-school/ to pay the fee online.
Email address *
STUDENT INFORMATION
Class To Be Enrolled In: *
Required
Child's Full Name *
Your answer
Please select your child's gender below: *
Child's Birth Date *
MM
/
DD
/
YYYY
Child's Home Address *
Your answer
Child's Home Phone Number *
Your answer
Child's Cell Phone Number
Your answer
Parent's E-Mail Address (If different from above.) *
Your answer
Number you would like us to text with information about NNS and its operation. *
Your answer
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