Preschool Application

 
A non-refundable application fee of 50.00 will be collected after clicking submit.
All questions with an asterisk (*) are required.
STUDENT INFORMATION
Child's Name *
Child's Name
Address: *
Address:
Birthdate: *
Birthdate:
STUDENT HEALTH INFORMATION
PARENT 1 INFORMATION
Primary Contact
Name: *
Name:
Cell phone: *
Cell phone:
Home phone:
Home phone:
PARENT 2 INFORMATION
Secondary Contact
Name:
Name:
Cell phone:
Cell phone:
Home phone:
Home phone:
SIBLING INFORMATION
Answer applicable questions only.
Does your child have any siblings? *
Sibling 1 — Full Name (if applicable):
Sibling 1 — Full Name (if applicable):
Sibling 1 — Birthdate (if applicable):
Sibling 1 — Birthdate (if applicable):
Sibling 2 — Full name (if applicable):
Sibling 2 — Full name (if applicable):
Sibling 2 — Birthdate (if applicable):
Sibling 2 — Birthdate (if applicable):
Sibling 3 — Full Name (if applicable):
Sibling 3 — Full Name (if applicable):
Sibling 3 — Birthdate (if applicable):
Sibling 3 — Birthdate (if applicable):