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.
* Required
Notice, Wonder & Appreciate Childhood
Child's First & Last Name
*
Your answer
Child's Birthdate
*
Your answer
Parent 1 First and Last Name
*
Your answer
Parent 1 Email
*
Your answer
Parent 1 Cell Phone Number
Your answer
Home Phone Number
Your answer
Parent 2 First and Last Name
Your answer
Parent 2 Email Address
Your answer
Parent 2 Cell Phone Number
Your answer
Mailing Address
*
Your answer
Why did you choose CBI PS&K for your child?
*
Your answer
Schedule Preference
*
3 days
4 days
5 days
Kindergarten
flexible
Required
Full Time or Part Time?
*
9-12:45
9-3:30
Required
Early Care or After Club?
*
Early Care 8-9am
After Club 3:30-5:30pm
No thanks
Required
Member of CBI
*
Yes
No
No, but I am Jewish
Other:
Required
Anything else you want us to know?
Your answer
Submit
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