2025-2026 Preschool Registration Form
A non-refundable registration fee must accompany this form. Supply fees are due in September and January (half payments).
Class Choice
2-year-old class, M/W/F
WAITLIST- 3year-old class, T/W/Th
WAITLIST- 4-year-old class, M-Th
WAITLIST- Bible, Arts, Music (B.A.M!), F only, optional for 3- and 4-year-olds only
Child's Full Name
*
First Name
Middle Name
Last Name
Name Called
*
Date of Birth
*
-
Month
-
Day
Year
Date
Home/Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian's Name
*
First Name
Last Name
Relationship to Child
*
Mother
Father
Guardian
Cell Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address:
*
Same as child's
Different than child's
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer
*
Work Phone Number
Please enter a valid phone number.
Parent/Guardian's Name
First Name
Last Name
Relationship to Child
Mother
Father
Guardian
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Address:
Same as child's
Different than child's
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer
Work Phone Number
Please enter a valid phone number.
Emergency Contact (other than those listed above)
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Allergies or Dietary Restrictions
*
No
Yes
If yes, please list/explain:
Sibling(s) Name(s) and Age(s)
*
Does your family attend church?
*
Yes
No
If so, where?
I understand that I must provide an up-to-date SC Certificate of Immunization DHEC 4024 before September 1, 2025.
*
Yes
No
Current Immunization Record
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How did you hear about us?
*
Please Select
Family Member/Friend
Online
Previous Student
Returning Family
Other
Registration Fee ($130/child; $70 for additional siblings) must be paid with form to complete registration.
*
I understand
Parent Signature
*
Date/Time
*
Type a question
Not Satisfied
Somewhat Satisfied
Satisfied
Any thoughts?
Service Quality
Cleanliness
Responsiveness
Friendliness
Submit
Submit
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