Cottonwood Colt Kids Preschool
Please complete the following information about your child.  In order to secure your place for next year you must either mail, call in or bring in a $25.00 to the finance office.  If we do not received the $25.00 there is no guaranteed spot.  If you have any questions please email
Name of Child *
Child's Birthday *
Address *
Best Contact Phone number *
Parent/Guardian names *
Parent/Guardian Phone numbers *
Parent/Guardian email address *
Parent/Guardian place of employment *
Lis in order of preference, three people to call in case of an emergency to whom the child may be released to if legal guardian is unavailable *
Please list any special conditions, disabilities or medical information needed for emergency situations *
Does your child have any allergies?  If yes please list *
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