Preschool Registration

Preschool Registration

2026-27 School Year
Program*

Standard (T-Th 9:00-11:30 AM)Extended (T-W, 9:00-11:30 AM, Th 9:30 AM-1:00 PM)
Child's name*

First nameMiddle initialLast nameSuffix
Name you would like your child to be called in school
Street address*

Street address

Street address line 2

CityState

ZIP Code
Your child must be four years old before September 1 to enroll in the program!
Child's birthdate*

MonthDayYear
Child's sex*

Does your child have any learning disabilities or physical handicaps which may necessitate special consideration?*

YesNo
Please specify:
Does your child have any known allergies?*

YesNo
Please specify:
Is your child currently being given any medication on a regular basis?*

YesNo
What medications?
Does your child need help using bathroom facilities?*

YesNo

Please state any additional information about your child that would be helpful to their teacher.
How did you hear about us?

Our program is full for 2023-24; by submitting this form, you will be added to our waitlist. We will contact you if there is an opening in the class in the order in which you were added to the list.

The $40 is due if there is an opening and will not be collected at this time.

A copy of your registration form will be emailed to you.
A non-refundable $40 registration fee is required for each application. Your application is not complete until payment is received.
I will pay:*

OnlineBy check
Upon pressing the "submit" button below, you will be redirected to our online payment page. A copy of your registration form will be emailed to you.
You may make out a check with “Preschool registration” and your child's name in the memo line. Please drop off the check at our office or mail it to:

Evangelical Lutheran Church
130 N Washington St
Greencastle, PA 17225

A copy of your registration form will be emailed to you. If you prefer, you may press the “print” button to print your form and include it with your registration payment instead of submitting online.
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