2025-2026 Registration Form

Registration Form 2025-2026

109 SW Normandy Road, Normandy Park, WA 98166

JKPreschool.com 206-241-0505

Fax #206-838-1805
REGISTRATION QUALIFICATION BEFORE FEBRUARY 10, 2025

In-house registration is for the following:
- families with a currently enrolled child OR
- families who are members of John Knox Presbyterian Church
- employees of Judy's Daycare
Does your family meet at least one of the above criteria?

YesNo
CHILD INFORMATION
Name*

First NameLast Name
Age*
Use a decimal to indicate a partial year
Birth date*

MonthDayYear
Please make sure this date is correct as it determines class eligibility.
Gender*

MaleFemale
Siblings (names & ages)
Name (age), Name2 (age)
Is your child fully immunized per WA State Department of Health recommendations?

Indicate yes or no below
Fully Immunized*

YesNo
Does your child have an education plan? (E.g. IEP, IFSP)

Indicate yes or no below
Educational Plan

YesNo
Educational Plan Attachment

Upload your child's educational plan
Cancelof
PARENT INFORMATION
Parent/Guardian-1*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email-1*
example@example.com
Cell Phone-1*
Parent/Guardian-2

First NameLast Name
Email-2
example@example.com
Cell Phone-2
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
CLASS REGISTRATION

Tuition listed is per month
Eligibility
Wee Waddlers

Friday, 9:30-11AM - ($100)
Twos

M/W 9:30-11:30 AM ($250)ORT/Th 9:30-11:30 AM ($250)M-Th 9:30-11:30 AM ($450)
Threes

T/Th 9:15-11:45 AM ($320)ORM/W/F 9:15-11:45AM ($480)M-F 9:15-11:45 AM ($700)
Fours

Pre-K M-Th 9:00-Noon ($520)ORPre-K M-F 9:00-Noon ($650)
Enrichment Registration (Fours only)

Noon-3PM two days/week ($260)
E Days

M/WORANDT/Th
Spanish Registration (Fours only)

Noon-3PM two days/week ($260)
SP Days

M/WORANDT/TH
Administrative Fields
Date Eligible for Twos

MonthDayYear
Date
AM Assignment
PM Assignment

Enrichment M/WEnrichment T/ThSpanish M/WSpanish T/ThUNENROLLED
Registration Date

MonthDayYear
Date
Notes
Invoice Date

MonthDayYear
Date
Required Forms Received

Yes
CIS Received

Yes
Should be Empty:

Registration Form 2025-2026

CHILD INFORMATION

Is your child fully immunized per WA State Department of Health recommendations?

Does your child have an education plan? (E.g. IEP, IFSP)

PARENT INFORMATION

OTHER INFORMATION

Check box if you plan to apply for tuition assistance

CLASS REGISTRATION

Enrichment Registration (Fours only)

Spanish Registration (Fours only)

Administrative Fields