LITTLE MIRACLES PRESCHOOL 4s ENROLLMENT 2019/2020
Email address *
Child's Last Name *
Child's First Name *
Child's Birthdate *
MM
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DD
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YYYY
Does your child have any food allergies? If yes, please explain. *
Child's Nick Name (how you would like their name to appear on items at school) *
Address *
Mother's Name *
Mother's Phone Number *
Mother's Email Address *
Father's Name
Father's Phone Number
Father's Email Address
Child's Siblings and ages *
Has your child previously attended preschool? If yes, where? *
Does your family regularly attend church? If yes, where? *
School year September 9, 2019 – May 13, 2020 $150 non-refundable enrollment fee will be due within 24 hours of your confirmation email. $100 of this fee will be credited to your September tuition payment. Children must be four years old before September 1, 2019 Tuition $241 Month or $2140/Year (if paid in full by September 10) I agree to the above tuition schedule and all information contained herein, regarding Little Miracles Christian Learning Center. *
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