Preschool Package Registration Form

Preschool Package Registration Form
Parent(s) Name(s)*
Email Address*
Student's Name*
Student's Gender*

MaleFemale
Student's Birthday*
Contact Number*
Do you recieve Text at this number?*

YesNo
Address*
City*
Zip Code*
There is an annual $50 registration/supply fee,

per child , due with the Application.

This can be paid in person,

or with Venmo @Angie-Jensen

First Month's Tuition is also due at the time of registration. This will be non-refundable.

**Tuition is due on or before the first school day

of each month.

If payment is not received by the 10th day

of each month,

an additional fee of $10 will be assessed
We occasionally take pictures

of the kids in action with the materials

or doing other activities for our website and/or blog.

We hope to use these to keep parents

up to date on the happenings at school.
Please click yes if you WILL give permission to have photographs of your child taken*

YesNoOnly for my personal update/emails etc.
How did you find us?*

SignFlyerGoogle/Other search engineFacebookFriendHometown ValuesOther
If you were referred by a friend please let us know who, so we can thank them!
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