2021 - 2022 New Covenant UMC Preschool Registration Form
Child's Name (and preferred nickname, if any)
Date of Birth
Class (Age as of August 31, 2021)
1s, T/W/Th if available
Are there health conditions or special circumstances we should know about, such as food allergies or therapies ?
Best contact number and adult's name
Parent/Guardian phone numbers and/or email addresses to be included in regular communications (ClassTag.com or app)
Registration of $75 for 1st child and $50 for each additional child to be paid by
For CURRENT families only - 3 monthly payments with tuition (March, April, May)
Check or cash dropped off at church
Online payment through Google Pay (
Check mailed to New Covenant Preschool (14514 Lucia Riverbend Hwy, Mount Holly 28120)
Send me a copy of my responses.
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