ECM Application 2024-2025

St. Peter Lutheran Early Childhood

N2740 French Road, Appleton, WI 54913

stpeterschool@922ministries.com

stpeterschool922.com/early-childhood

(920) 739-2009
St. Peter Lutheran Early Childhood ADMISSION APPLICATION: 2024-2025

Enter your application information below
Student Information

Please complete this section with information about your child.
Name*

First NameMiddle NameLast Name
Preferred Name / Nickname (if different from first name)
Birth Date*

MonthDayYear
Grade*

3K4K(The summer before 5K--for ECM 2024 summer care only)
Gender*

MaleFemale
Public School District*
If you selected other, please enter the name of public school district
Church Home*
If you selected other, please enter the name of your church home and town

2024-2025 School Year Program

Please select your ONE preferred program option below
Half Day Program (until 11:30 a.m.)

2 days (Mondays and Wednesdays Only)3 days (Mondays, Wednesdays, and Fridays Only)
School Day Program (until 3:15 p.m.)

2 days (Tuesdays and Thursdays Only)3 days (Mondays, Wednesdays, and Fridays Only)5 days
Full Day Program (until 5:30 p.m.)

2 days (Tuesdays and Thursdays Only)3 days (Mondays, Wednesdays, and Fridays Only)5 days

Sibling Information

Please tell us about any younger children in your family who are not currently attending St. Peter.
Sibling 1 Name

First NameLast Name
Birth Date

MonthDayYear
Sibling 2 Name

First NameLast Name
Birth Date

MonthDayYear
Sibling 3 Name

First NameLast Name
Birth Date

MonthDayYear

I understand that I am applying for my child to attend St. Peter Lutheran Preschool and that the information provided is correct. I also understand that if accepted, I will be asked to formally enroll my child.
Signature*

Clear
Today's Date*

MonthDayYear
Date
Should be Empty:

Student Information