Student Registration
2024-2025 School Year
Section 1:
Student Information
Student's Legal Name:
*
First Name
Last Name
What name do you call this child at home?
Sex
Male
Female
Birth Date
*
-
Month
-
Day
Year
Date
Child's Address
*
Is your child allergic to any foods?
Yes
No
If yes, what food(s)?
Does your child have any dietary restrictions?
Yes
No
If yes, what restriction(s)?
Does your child have any medical conditions that require him/her to have specialized treatment?
Yes
No
If yes, what condition(s)?
Is your child able to use the toilet independently?
Yes
No
Is there any information that you would like your child's teacher to know?
Section 2:
Family Information
Parent or Legal Guardian 1
First Name
Last Name
Email Address
Primary Phone Number
-
Area Code
Phone Number
Secondary Phone Number
-
Area Code
Phone Number
Parent or Legal Guardian 2
First Name
Last Name
Email Address
Primary Phone Number
-
Area Code
Phone Number
Secondary Phone Number
-
Area Code
Phone Number
Who lives in the same house as the student?
First Name
Last Name
Relationship to Student
1.
2.
3.
4.
5.
6.
7.
In addition to the Parents/Guardians, who is authorized to pick up your child from school?
First Name
Last Name
Phone Number
Relationship
1.
2.
3.
4.
5.
6.
7.
Section 3:
Videos or Photographs of your child may be taken during class. We will never publish or post a photo or video of your child without your written permission. Please let us know your preferences for your child's photos and videos.
Do you give permission for your child’s photo or video to be posted on the Preschool's website?
Yes
No
Do you give permission for your child’s photo or video to be posted on the Preschool's Facebook private page?
Yes
No
Do you give permission for your child’s photo or video to be used in written advertisements (pamphlets/flyers) for the school?
Yes
No
Class Selection
Available class times are subject to change based on enrollment. Please choose one from the drop-down menu. We will contact you to confirm enrollment and receive registration payment.
Morning Classes for 3-year-olds, 9:00-11:30am:
2-Day, Tuesday & Thursday
Morning Classes for 4-year-olds, 9:00-11:30am:
2-Day, Monday & Wednesday
2-Day, Monday & Friday
2-Day, Wednesday & Friday
3-Day, Monday, Wednesday & Fridays
5-Day, Monday through Friday
Afternoon Classes for 4-year-olds, 12:30-3:00pm:
2-Day, Monday & Wednesday
2-Day, Monday & Friday
2-Day, Wednesday & Friday
3-Day, Monday, Wednesday & Fridays
5-Day, Monday through Friday
All-Day Classes for 4-year-olds, 9:00am-3:00pm:
2-Day, Monday & Wednesday
2-Day, Monday & Friday
2-Day, Wednesday & Friday
3-Day, Monday, Wednesday & Friday
5-Day, Monday - Friday
Signature
Today's Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: