Kunz Korner Preschool
Registration Form
Childs Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Parents
Best phone number
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Emergency contact
Other people authorized to pick up your child
Phone Number of person authorized to pick up your child
Please enter a valid phone number.
Allergy Information
Class
*
3yr Morning Mon/Wed 9-11
4yr Morning Tues/Thurs 9-11
4yr Afternoon Tues/Thurs 12-2
Add 4yr old 3 day class Wednesday 12-2
Registration Fee: 2 days/week $75 3 days/week $110
Cash
Check
Submit
Should be Empty: