Preschool Application

All questions with an asterisk (*) are required. There is a 100.00 fee that is collected following submission of this page. Receipt of your application, as well as the fee will confirm completion of your application to La petite ecole school.

STUDENT INFORMATION

Desired Session:

Child's Name

First Name

Last Name

Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender of Child:

Birthdate:

YYYY

Current school (if applicable):

PARENT 1 INFORMATION

Primary Contact

Name:

First Name

Last Name

Cell phone:

(###)

###

####

Email:

How did you hear about La petite ecole? Please let us know who may have referred you.

Comments:

PARENT 2 INFORMATION

Secondary Contact

Name:

First Name

Last Name

Cell phone:

(###)

###

####

Email:

SIBLING INFORMATION

Answer applicable questions only.

Does your child have any siblings?

Yes

Sibling 1 — Full Name (if applicable):

First Name

Last Name

Sibling 1 — Gender (if applicable):

Sibling 1 — Birthdate (if applicable):

YYYY

Sibling 1 — School (if applicable):

Sibling 2 — Full name (if applicable):

First Name

Last Name

Sibling 2 — Gender (if applicable):

Sibling 2 — Birthdate (if applicable):

YYYY

Sibling 2 — School (if applicable):

Sibling 3 — Full Name (if applicable):

First Name

Last Name

Sibling 3 — Gender (if applicable):

Sibling 3 — Birthdate (if applicable):

YYYY

Sibling 3 — School (if applicable):