New Preschool Student Registration Form

New Preschool Student Registration Form
Applicant Information
Child's Name*

First NameMiddle NameLast Name
Gender
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parental/Guardian Information
Guardian/Parent 1*

First NameMiddle InitialLast Name
Email*
example@gmail.com
Job/Position
Mobile Number*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian/Parent 2

First NameMiddle InitialLast Name
Email
example@gmail.com
Job/Position
Mobile Number
Address (if not the same as above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child lives with
If other please explain

Preschool Program Details and Schedule
Your child must be three years old and potty trained to attend Primavera School. Please pick one of the schedule options below. There will be no alteration to the schedules.

After you pick your schedule, please pick whether your child will be part-time from 7:45-1:00 or full-time from 7:45-5:30.
Schedule you are applying for*

Five-DaysThree-days: Monday, Wednesday, and Friday (only)Two-days: Tuesday and Thursday (only)
Half-Day or Full-Day*

Half-Day 7:45-1:00Full-Day 7:45-5:30
Educational Background
Name of School
School Address

Street

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Attended
Why did you leave?

If you still need to, please schedule an interview with the director and do a school tour. The interview and tour are required before your child will be placed on the waitlist. You can call the school at 928-445-5382 to schedule an appointment.

Completing this form, paying the fee, and completing the required paperwork save your child a place on our waiting list. You must pay a non-refundable $100 registration fee to hold your child's position on the waitlist. Your child is not guaranteed to have a place in a classroom.

Download the enrollment paperwork below, fill it out, and return it to the office. You can fill it out digitally and email it to penguinoffice@primaveraschool or bring it to the office. We will also need a copy of your child's immunization records.

Once we have received your payment and all the required paperwork, we will contact you to let you know where you are on the waitlist or if your child will be placed in the classroom, and what your next steps are.
Enrollment Paperwork

My Products*

Registration FeeFee to get on the waitlist

$100.00 Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

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