2020-2021 Christ's Church Preschool Registration Form (Please complete one form for each student).
Address: 745 Davenport Farm Rd, Winterville, NC 28590
Contact us at (252) 353-2967 or preschool@ccg.church
Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Gender *
Parent's / Legal Guardian's First Name *
Your answer
Parent's / Legal Guardian's Last Name *
Your answer
Parent's / Legal Guardian's Relationship to Child (Mother, Father, etc.) *
Your answer
Street Address *
Your answer
Street Address Line 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number
Your answer
Work Phone Number
Your answer
Mobile Phone Number
Your answer
Schedule Requested *
I understand I will receive a registration fee invoice in the amount of $150 which must be paid to secure space for the 2020-2021 school year. *
Required
We will mail you an application and enrollment package upon receipt of your registration fee. If you prefer to pick up a package, please email preschool@ccg.church or call 252-353-2967,
A copy of your responses will be emailed to the address you provided.
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