Registration Form 2024-2025
109 SW Normandy Road, Normandy Park, WA
98166
JKPreschool.com
206-241-0505
CHILD INFORMATION
Name
*
First Name
Last Name
AM Assignment
Please Select
WW
2-day Twos
4-day Twos
2-day Threes
3-day Threes
4-day Fours
5-day Fours
WAITLISTED - DO NOT BILL
PM Assignment
Standard M/W
Standard T/Th
Spanish M/W
Spanish T/Th
Age
*
Use a decimal to indicate a partial year
Birth date
*
/
Month
/
Day
Year
Please make sure this date is correct as it determines class eligibility.
Gender
*
Male
Female
Siblings (names & ages)
Name (age), Name2 (age)
My child is fully immunized per WA State Department of Health recommendations.
Indicated yes or no below
Fully Immunized
*
Yes
No
PARENT INFORMATION
Parent/Guardian-1
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email-1
*
example@example.com
Cell Phone-1
*
-
Area Code
Phone Number
Parent/Guardian-2
First Name
Last Name
Email-2
example@example.com
Cell Phone-2
-
Area Code
Phone Number
OTHER INFORMATION
Comment
Share any additional information you think we should have.
Church Affiliation (if any)
Check box if you plan to apply for tuition assistance
Applications will be sent at a later date.
Tuition Assistance
Yes
Registration Date
/
Month
/
Day
Year
Date
Eligibility
Please Select
WW
Twos
Threes
Fours
Fours +
CLASS REGISTRATION
Invoice Date
-
Month
-
Day
Year
Date
Wee Waddlers
Friday, 9:30-11AM - ($80)
Twos
M/W 9:30-11:30 AM ($230)
OR
T/Th 9:30-11:30 AM ($230)
M-Th 9:30-11:30 AM ($425)
Threes
T/Th 9:15-11:45 AM ($245)
OR
AND
M/W/F 9:15-11:45AM ($370)
Fours
Pre-K M-Th ($415)
Pre-K M-F ($505)
Standard Enrichment Registration (Fours only)
Noon-3PM two days/week ($225)
ST-E Days
M/W
OR
AND
T/Th
Spanish Enrichment Registration (Fours only)
Noon-3PM two days/week ($225)
SP-E Days
M/W
OR
AND
T/TH
Preview PDF
Submit
Notes
Should be Empty: