Preschool Admission Form

Preschool Admission Form

Pease fill out this form to enroll your child in our preschool program.

Child Information

Name

    Date of Birth

      Gender

        • Male

        • Female

        Address

          Parent/Guardian Information

          Name

            Relationship to Child

            Phone number

              Alternative Phone Number

                Does your child have any allergies or medical conditions we should be aware of?

                If yes, please specify

                  Birth Certificate

                    Immunization Records

                      Please check the box below to proceed

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