Pre-Registration Form
Welcome to Liberty of Learning Center, LLC located at 2049 Brodhead Road in Hopewell, PA. We are accepting applications but spots are limited. *Please note that completing this form does not guarantee admission. Thank you for your consideration. If you have any questions, please email libertytreeoflearning@gmail.com or call our office at (724) 203-0089.
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Full name of child
First Name
Middle Name
Last Name
Gender
Boy
Girl
Date of birth
-
Month
-
Day
Year
Date
Is your child potty trained?
Yes
No
In Process
Other - Please explain:
Please explain your child's potty training needs below:
Does your child have any allergies, special needs or other information that we need to know?
Please Select
Yes - Please explain below.
No
I don't know
List any allergies or special needs for your child here.
Parent or Guardian Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who has parental responsibility?
Mother
Father
Guardian
Please specify
Person authorized to pick up child
First Name
Middle Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Person to call in case of emergency
First Name
Last Name
Phone Number
Please enter a valid phone number.
Preschool Classroom Pricing List - Please select all options you may be seeking for your child. We will add you to our waitlist for each classroom you choose. *You can select multiple options.
Categories:
All
All
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2's Preschool Instructional Time (Full-Time)
M - F 8:45 a.m. - 12:45 p.m.
$
210.00
2's Preschool Instructional Time Mon, Wed, Fri
M, W, F 8:45 a.m. - 12:45 p.m.
$
151.00
2's Preschool Instructional Time Tue & Thur
Tue & Thur 8:45 a.m. - 12:45 p.m.
$
104.00
2's Preschool Mon, Wed, Fri (Extended Day)
Mon, Wed, Fri (up to 9 hrs./day)
$
203.00
2's Preschool Full-time (Extended Day)or Full-time with flexiblity
M - F (Up to 9 hrs./day)
$
295.00
2's Preschool Tue & Thur (Extended Day)
Tue & Thur (up to 9 hrs./day)
$
142.00
When would you like to start services?
Please Select
As soon as possible
Upcoming Pre-K School Year
Signature of parent/guardian
Date of Application
-
Month
-
Day
Year
Date
Submit
Submit
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