Registration Form
Bon-Accord Preschool A Sure Foundation
Child's Name
*
First Name
Last Name
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Male
Female
Parent / Guardian's Name
*
First Name
Last Name
What is your relation to the child?
*
example: mom
Parent / Guardian's Name 2
First Name
Last Name
What is this person's relation to the child?
example: dad
Phone Number 1
*
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Number 2
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Does your child have any allergies / physical impairments?
Yes
No
If yes to the question above, please specify.
Birth Certificate
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