Cheerful Cherubs Preschool

Cheerful Cherubs Preschool

Registration Form
Child's Name

First NameLast Name
Birthdate

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Parent/Guardian

First NameLast Name
Phone Number
Primary Parent/Guardian
Occupation
Primary Parent/Guardian
Email
Primary Parent/Guardian
Second Parent/Guardian

First NameLast l Name
Phone
Second Parent/Guardian
Occupation
Second Parent/Guardian
Who do they live with?

Primary Parent/GuardianSecond Parent/GuardianBothOther
Siblings Names and Ages
Do you attend a church? If yes, where?
Please tell us about any medical concerns or allergies.
Is your child potty trained?

YesNoWorking on it!
How many days are you wanting to register your child for?

One Day a Week MMO - under 2yo $70/monthTwo Days a Week MMO - under 2yo $100/monthThree Days a Week MMO - under 2yo $135/monthThree Days a Week 2yo-3yo $130/monthFive Days a Week 2yo-3yo $160/monthPre-K 4yo, 5 Days a Week $175/month
For Mothers Morning Out (under 2 years old). Please select the days you would like your child to attend.

TuesdayWednesdayThursdayDoes not apply to me.
We take a lot of pictures! May we use them on our social media pages?

Yes!No.Only in a closed classroom group.
How did you hear about us?
Emergency Contact
Name and Phone number
Should my child suffer an injury or illness while in the care of Cheerful Cherubs and the facility is unable to contact me immediately, it shall be authorized to secure medical attention and care for my child as may be necessary. I agree to keep the facility informed of changes in telephone numbers, etc. where I can be reached. The facility agrees to keep me informed of any incidents requiring medical attention involving my child.

Clear
State Exemption Status- In order to comply with the state regulations, you are signing below that you have been informed that Cheerful Cherubs Preschool is not licensed by the state, but maintains their State Exemption Status. Bright from the Start inspects Cheerful Cherubs frequently so we can maintain our State Exemption Status.Although we are not a licensed preschool, Cheerful Cherubs has always set their standards high. Our staff is CPR and First Aid certified, and all employees have background checks completed. Please sign below stating that you have been informed of this exemption.

Clear
Todays Date

MonthDayYear
This is dating all signatures on this form.
The Registration fee is $120 and can be paid by scanning the QR code below!

or Find us on Venmo at @CheerfulCherubsKP
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