Pre-Registration Form

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.Format: (000) 000-0000.
Full name of child

First NameMiddle NameLast Name
Gender
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Is your child potty trained?
Does your child have any allergies, special needs or other information that we need to know?
List any allergies or special needs for your child here.
Parent or Guardian Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Who has parental responsibility?
Please specify
Person authorized to pick up child

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Person to call in case of emergency

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preschool Classroom Pricing List - Please select the service you're seeking for your child.
Categories:All

All

Early Preschool Full-Time (3's Classroom)

Early Preschool (3's Classroom) Instructional Time
prevnext( X )
Early Preschool Full-Time (3's Classroom)

Early Preschool (3's Classroom) Full-Time (Extended Day)or Full-time with flexiblity
up to 9 hrs./day

$280.00



Early Preschool (3's Classroom) Mon, Wed, Fri (Extended Day)
up to 9 hrs./day

$194.00



Early Preschool (3's Classroom) Tue & Thur (Extended Day)
up to 9 hrs./day

$136.00



Early Preschool (3's Classroom) Instructional Time

Early Preschool Instructional Time M - F
M - F 8:45 a.m. until 12:45 p.m.

$205.00



Early Preschool Instructional Time (3's Classroom) Mon, Wed, Fri
M, W, F 8:45 a.m. until 12:45 p.m.

$145.00



Early Preschool Instructional Time (3's Classroom) Tue & Thur
Tue and Thur 8:45 a.m. until 12:45 p.m.

$100.00



Total

$0.00
When would you like to start services?
Signature of parent/guardian
Date of Application

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Pre-Registration Form

Preschool Classroom Pricing List - Please select the service you're seeking for your child.