Loomis Community Preschool - Application For Enrollment {2020-21}
6414 Brace Road, Loomis, California 95650
loomispreschool.com
License #310-300416

Children are accepted without regard to race, color, religion, or national origin.

This application and a non-refundable $75 registration fee are required to secure your child's spot in the class. You can pay via Paypal at the end of this application, or by check. Thank you!
Child's Name (Last, First) *
Select one: *
Child's Age *
Child's Sex *
Birthdate *
MM
/
DD
/
YYYY
Street Address *
City *
Zip Code *
Home Telephone (000-000-0000) *
Does your child have any health problems or disabilities? *
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