Calvary Preschool & Kindergarten Enrollment Form

Calvary Kindergarten Enrollment Form
Child's Full Name

First NameMiddle NameLast NameSuffix
Child's Preferred Name:
Child's Birthday

MonthDayYear
Date
Child's Age
Male or Female

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name

First NameLast Name
Mother's Address (If different from child)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Home Phone Number

Area CodePhone Number
Mother's Cell Phone Number

Area CodePhone Number
Mother's Work Phone Number

Area CodePhone Number
Mother's Employer and Position
Mother's Church Membership
Mother's Email Address
example@example.com
Father's Name

First NameLast Name
Father's Address (If different from child)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Home Phone Number

Area CodePhone Number
Father's Cell Phone Number

Area CodePhone Number
Father's Work Phone Number

Area CodePhone Number
Father's Employer and Position
Father's Church Membership
Father's Email Address
example@example.com
In case of an emergency and parents cannot be reached, please list two close contacts who we may call. Please include their name and phone number.
Hospital Preference
In which program do you wish to enroll your child (ages as of September 1).

ONES - 2 DAYONES - 3 DAYTWOS - 2 DAYTWOS - 3 DAYTWOS - 5 DAYTHREES - 2 DAYTHREES - 3 DAYTHREES - 5 DAYFOURS - 3 DAYFOURS - 5 DAYFIVES - 5 DAY
If you selected 2 DAYS, which two days do you prefer out of Monday, Wednesday, and Friday. Please select TWO.

MondayWednesdayFriday
OPTIONAL: Music OR Lunch Bunch is offered for an additional $30 per month, $15 for each additional sibling. Siblings of Calvary 5k students can attend Music Bunch for free.

Music Bunch (8:00 - 8:45AM) (3K & 4K only)Lunch Bunch ( 12:15 - 1:00PM) (2K, 3K, & 4K)Neither
Child's Place in the Family: (oldest, youngest, etc.)
Please list the other children in the family and their ages:
Previous Nursery School or Kindergarten Attended:
Please list your child's allergies:
Please list any fears, nervous habits, etc. that might help us understand your child better?
My child, listed at the beginning of this form, has my permission to go on all field trips organized by Calvary Baptist Church Preschool and Kindergarten during the school year he/she is enrolled. I understand that I will be notified prior to all trips.
Please type your name below as an electronic signature:
Please type today's date:
I would like to enroll my child at Calvary Baptist Preschool and Kindergarten because:
Should be Empty:

Calvary Kindergarten Enrollment Form