Celebration Preschool 2020-2021 Application for 3 Year-Olds (Must be 3 years old by September 30, 2020.)
Child's First Name *
Your answer
Child's Last Name *
Your answer
Registration Type *
First Choice *
Second Choice
Third Choice
Fourth Choice
Name to be used/recognized in the classroom *
Your answer
Sex *
Required
Age (as of September 30, 2020) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Mailing Address *
Your answer
Mother's/Guardian's First Name *
Your answer
Mother's/Guardian's Last Name *
Your answer
Mailing Address (if different from above)
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Mother's/Guardian's Email Address *
Your answer
Father's/Guardian's First Name
Your answer
Father's/Guardian's Last Name
Your answer
Mailing Address (if different from above)
Your answer
Primary Phone Number *
Your answer
Secondary Phone
Your answer
Father's/Guardian's Email Address *
Your answer
Person(s) with legal custody of child (if not parent, please indicate the relationship to child) *
Your answer
Name of person to contact when parents cannot be reached *
Your answer
Relationship to child *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Schools previously attended by your child and dates attended
Your answer
Will your child need special services in the classroom? (speech, OT, PT, IEP, other) *
If yes, please list any special services.
Your answer
Does your child have any allergies? *
If yes, please list any allergies.
Your answer
Will your child require medication while at preschool? (Such as an Epi-pen) *
If yes, please list any medications.
Your answer
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