2019-2020 Preschool Registration
2019-2020 Preschool Registration
Child's Name  * 
Child's Date of Birth  * 
Parent/Guardian Name  * 
Street Address  * 
City  * 
State  * 
Zip  * 
Home Phone Number
Cell Phone Number
Email Address (will be used for classroom communication)
What is the best way to contact you?  * 
How did you hear about our Preschool? * 
Did a parent or teacher refer you? Name of person that referred you?
Do you know someone that would like more information about our Preschool Academy or do you have a friend you would refer to our Preschool Academy? * 
Please Select Desired Class (child must be of age by Sept 1st) No Exceptions!  * 
Your Email Address  * 
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