Miss Emalee's Preschool Registration
2025-2026
Student Information
Full Name
Name to be called and written at school
Date of Birth
Gender
Male
Female
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.
Child lives with
Both Parents
Dad
Mom
Other
If Other, please list name and relationship.
Medical or Developmental Issues (allergies, hearing, eyesight, behavior, attention deficit, etc.) (write N/A if none)
Fears, Worries or Dislikes (write N/A if none)
Mother's Information
Name
Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email
example@example.com
Father's Information
Name
Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email
example@example.com
Authorizations & Releases
Emergency Contact Information: * In the absence of parents, child can be released to:
List up to 2 contacts other than parents (Name, Relationship to Child and Phone Number)
Child Pick up Authorization: * other than Parents & Emergency Contacts
List up to 3 contacts other than parents (Name, Relationship to Child and Phone Number)
Child's Physician
Name and Phone Number
Field trips: I understand that for my child to attend field trips scheduled by Miss Emalee, an adult will have to take and attend with my child. I will be notified in advance of field trips and I will be responsible for any fees involved. If I choose to have my child not attend the field trip, I understand there will be no school on the day of the field trip.
Name
First Name
Last Name
Signature Date
-
Month
-
Day
Year
Preshool Class Options
Your child should be 3 or 4 years old by Labor Day in order to enroll at subsequent levels. Children entering the 3 and 4-year-old classes should be potty-trained. Please choose the class you would like your child to attend.
Pick your class
Morning Pre-K Waitlist
Morning Preschool Waitlist
Afternoon Pre-K Waitlist
Submit
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