Preschool Registration Form

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2024-2025 School Year Preschool Registration Form

Email *

Please choose a School Year

2023-2024 School Year

2024-2025 School Year

Name of Preschool Student *

Date of Birth MM/DD/YYYY *

Address of Preschool Student *

Name of Primary Parent/Guardian Contact *

Name of Secondary Parent/Guardian Contact

Address of Primary Parent/Guardian *

Address of Secondary Parent/Guardian (if different from primary)

Primary Parent/Guardian Contact Phone Number *

Secondary Parent/Guardian Contact Phone Number

Enrollment Type *

Half Day Enrollment (8:30 am - 11:30 am)

Mon

Tues

Wed

Thur

Fri

1 day/week ($120/mo)

2 days/week ($235/mo)

3 days/week ($350/mo)

4 days/week ($465/mo)

5 days/week ($580/mo)

Full Day Enrollment (8:00 am - 4:30 pm)

Mon

Tues

Wed

Thur

Fri

1 day/week ($197/mo)

2 days/week ($389/mo)

3 days/week ($581/mo)

4 days/week ($773/mo)

5 days/week ($965/mo)

Send me a copy of my responses.

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