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:
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 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
prev
next
( 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
When would you like to start services?
Please Select
Immediately
1-3 months
6-12 months
Signature of parent/guardian
Date of Application
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: