Evolutions Preschool
Registration application for Admissions to the Current and Following school year 2019/2020
Which school year are you applying for?
Student Name *
Your answer
Student DOB *
MM
/
DD
/
YYYY
Preferred class time *
Required
Preferred Days of Attendance *
Required
Parent Names *
Your answer
Mailing Address *
Your answer
Parent Email Address *
Your answer
Contact Phone Number-Mother *
Your answer
Contact Phone Number-Father *
Your answer
Emergency Contact-Other than listed above *
Your answer
Does the student have any physical limitations or allergies that we should know about? *
Your answer
Is your Child Vaccinated? *
I have read and understand the school policies & procedures as listed in the student handbook *
Required
I understand that by checking the box below I am responsible for all tuition costs and fees associated to the enrolled student. By completing this form I am saying that my student is physically healthy enough to begin this program. I further understand that I am signing the student up for the September-June term, and If I wish to discontinue their enrollment before the end of this term I need to give a 2 WEEK WRITTEN NOTICE. *
Required
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