Registration

2022-2023 School Year

Child's Name*
First Last
Child's Birthdate*
MM slash DD slash YYYY
Age First Day of School*
Gender*
- Female
- Male
Child's Name/Nickname*

As you would like your child to be called at preschool.
Address*
Street Address City State / Province / Region ZIP / Postal Code
Parent/Guardian Name*
First Last
Phone (House or Work)*
Cell Father*
Cell Mother*
Backup Emergency Contact*
Email*
Please Check the Class You Are Registering For:*
- 5 Day AM Schedule (Monday thru Friday) $2300
- 4 Day AM Schedule (Monday thru Thursday) $2100
- 3 Day AM Schedule (Tuesday thru Thursday) $1900*
*3 days a week will be for 2-3 year olds beginning school. Space is limited.
3 + 0 = ?*