Faith Preschool Registration
2019-20
Email address *
Child's Full Name *
Your answer
Child's Address *
Your answer
Child's Birthday *
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Child's Gender *
Siblings - Names & Ages *
Your answer
Program Selection *
Parent/Guardian Full Name *
Your answer
Parent/Guardian Contact Number *
Your answer
Parent/Guardian Employer Name
Your answer
Parent/Guardian Employer Phone
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relation to Child *
Your answer
Emergency Contact Number *
Your answer
Child's Doctor *
Your answer
Doctor's Contact Number *
Your answer
Allergies/Special Needs *
Your answer
How did you hear about Faith Preschool? *
Your answer
Liability Release
I acknowledge that I will not hold the school, faculty, church officers, or members liable in the event of injuries sustained by my children while enrolled in Faith Preschool of Three Village Church. I also acknowledge that by checking the box below, I am giving my valid electronic signature.
Do you accept? *
Required
Today's Date *
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Make payment to complete registration
Pay one month's tuition & a one-time $50 registration fee

Go to pushpay.com/pay/faithpreschool3vc to pay. (Submit form after payment)

If you prefer to pay cash or check, mail to or drop off at the Three Village Church office.

Checks must be written to “Three Village Church.”

    Faith Preschool 
    322 Main Street 
    E. Setauket, NY 11733 

*Please note: The registration payment secures your position in your selected program. The one-month's tuition will be applied to your final month's payment. Should you choose to withdraw your child’s registration before July 1, 2019, half of your one-month's tuition will be refunded but none of the registration fee can be refunded. After July 1, 2019, none of the registration payment can be refunded.

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