2021-22 Registration Form
Please fill out the application below if you are a new family interested in enrolling at CBI Preschool and Kindergarten.

In addition to filling out the registration, make sure you contact Jill Abbey-Clark to discuss your application. jillc@cbicville.org

Filling out this form does not guarantee you a spot at CBI Preschool & Kindergarten.
Notice, Wonder & Appreciate Childhood
Child's First & Last Name *
Child's Birthdate *
Parent 1 First and Last Name *
Parent 1 Email *
Parent 1 Cell Phone Number
Home Phone Number
Parent 2 First and Last Name
Parent 2 Email Address
Parent 2 Cell Phone Number
Mailing Address *
Why did you choose CBI PS&K for your child? *
Schedule Preference *
Full Time or Part Time? *
Early Care or After Club? *
Member of CBI *
Anything else you want us to know?
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