2017-2018 Preschool Registration
Email address
Child's Last Name
Your answer
Child's First Name
Your answer
Parent's Name/s
Your answer
Email Address *ALL CORRESPONDENCE WILL BE SENT TO THIS EMAIL
Your answer
Phone Number (XXX)-XXX-XXXX
Your answer
Child's Date of Birth **YOU MUST TYPE IN YOUR CHILD'S BIRTH MONTH, DAY AND YEAR!!!! *A child who turns 5 BEFORE 10/1/17 is eligible for Kindergarten, and can not attend preschool. *Your child must be 3 yrs old to attend preschool, you will need to wait to apply 3 weeks before their birthdate.
*Please double check this date, an incorrect birthdate may delay your placement.
MM
/
DD
/
YYYY
Child's Gender
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