Pre-K Registration

**Preschool registration requires a $50.00 non refundable deposit due with the form.

pre-k reg form-page-001

 

Online Pre-K Registration Form

Email Address: (required)

Child's Name (required)

Date of Birth

Gender

Please list allergies

Name you would like your child to learn to write & be called

Street Address

City/Zip

Mother's Name

Home/Cell (required)

Work

Father's Name

Home/Cell (required)

Work

Sibling's Name/Age

List any person, in addition to parents, who is allowed to pick-up your child if there are special circumstances, please list:

Name

Phone



Home School District/Elementary school your child will be attending:

Is your child receiving any special services? Example: Speech, Occupational Therapy, Emotional Support or English as a second language:

What agency is your child receiving these services through:

Please check which days your child will be attending:

 5 Days: Monday-Friday 3 Days: Tuesday-Thrusday