Our Savior’s Lutheran Preschool Registration 2023

Our Savior’s Lutheran Preschool Universal Preschool Registration 2023-2024

1800 21st Avenue | Greeley, CO 80631 | 970-336-6420 | Char Wells, Director
BEFORE YOU FILL THIS OUT MAKE SURE YOU HAVE APPLIED TO THE UPK PROGRAM at UPK.COLORADO.GOV

Please answer the following questions for the child you are enrolling
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date: xx/xx/xxxx
Child's Sex*

MaleFemale
Child's Shirt Size*

Primary Parent/Guardian Information

Please answer the question for child's primary guardian/parent
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Primary Email*
example@example.com
Employer/Company*
Employer/Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone*
Please enter a valid phone number.
Secondary Parent/Guardian Information

Please answer the following questions as the secondary guardian/parent
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Secondary Parent/Guardian Work Information

Please complete the following employment information
Employer/Company Name*
Employer/Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer/Company Phone Number*
Please enter a valid phone number.

Class Selection

Please chose which class you are wanting
Which class are you registering for?*

M/W/F AM Class: 8:00 - 11:30 AM (4 yrs by 9/1/23)M/Tu/W/Th PM Class: 12:30 - 3:00 PM (4 yrs by 9/1/23)
Tuition & Fees
As a UPK enrollment, tuition and registration is paid to us from the state.
Tuition & Fee Agreement*

I understand and agree to the fees as stated in the paragraph above.
Parent Co-Op Agreement

Please read the statement below and check to agree
We are a parent cooperative preschool. This requires a parent/guardian/adult tp help on thr classroom once a month. If you are not able to participate monthly, please contact the preschool to see what other way you are able to volenteer.
Co-op Agreement*

I understand and agree to the parent cooperative policy.
Disclaimer

**All forms are available on our website,(www.oursaviorslutheranpreschool.com) or you may request forms via email. These forms need to be completed and returned to the preschool by August 1st, 2023.**
Signature*

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Our Savior’s Lutheran Preschool Universal Preschool Registration 2023-2024