Nurturing Families Early Learners Classes
Fall 2021 Preschool Program Registration
Child's full name: *
Parent/Legal Guardian Name: *
Child's DOB: *
MM
/
DD
/
YYYY
Street Address:
Parent/Legal Guardian Phone number:
Email Address: *
Program of interest: Mornings
Clear selection
Program of interest: Afternoons
Clear selection
Does your child have an IEP or any special accomodations needed?
$50 Non refundable registration fee must be paid to secure my child's spot. If there are any concerns please contact us. *
Required
Snack fee for the entire year is $50. You may choose to pay the fee or provide a monthly snack for the group. The snack fee will be due in September. If there are any concerns please contact us. *
All children are required to bring: reusable water bottle with his/her name on it, Change of clothes and diapers/wipes if needed. *
Required
Bring your registeration packet before September 1st *
How did you hear about us? We would like to thank them!
Thank you for choosing to be apart of Nurturing Families Early Learners programs. If you have any questions please feel free to contact us at (360) 355-8969 email: Jennifer (Education Coordinator) jmoe@altavistalife.com, Robin (Disabilities Director) Robin@altavistalife.com
Additional comments or concerns?
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