Mini-Melodies Registration
Preschool, Pre-K and TK (potty trained ages 3 - 5)
Email address *
Name
Your answer
Age
Your answer
Birthday
MM
/
DD
/
YYYY
Mailing Address
Your answer
Zip Code
Your answer
Mom's Cell Phone
Your answer
Dad's Cell Phone
Your answer
Parent's Names
Your answer
Emergency Contact (Name, Relationship to student, and contact phone number).
Your answer
Parent's Email
Your answer
Do you have a church home?
Your answer
Is there any additional information that would help us serve your child?
Your answer
Academy Sign-Out Policy - Who has permission to sign-out your child.
Your answer
Do you give permission for the above names to sign-out for the entire semester?
Is your child enrolled in RB Community Preschool, please list their teacher and section (AM/PM)
Your answer
PM preschool students only. Do you give permission for preschool staff to sign-in your child to choir?
Please choose a payment option that works best for you. 1 child $45, 2 children $65, 3 children $85.
I understand that Mini-Melodies begins Wednesday Sept 11 at 4:00pm in the Skylight East Rm. Pick up time is 5:00pm.
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