Registration

Registration

2022-2023
Child's Name First Name* Last Name*
Age*
Age by September 1st, 2022
Child's Birthdate*

MonthDayYear
Date
Parents' Names First Name* Last Name*
First Name Last Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number*
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Email*
example@example.com
Preschool Session hours: 8:00 AM - 11:00 AM Select days requested (Minimum of 2 days)*

MondayTuesdayWednesdayThursdayFriday
How did you hear about Redeemer Lutheran Preschool? Ex. Internet, through a friend, previously attended
$25 Registration fee can be mailed or dropped off to:

Redeemer Lutheran Preschool

1664 Kraemer Drive
Winona, MN 55987

Upon receipt of this registration form and fee of $25, we will place your child’s name on our enrollment list. We will send you additional paperwork to complete your child’s enrollment.
Please send me scholarship information
Should be Empty: