Preschool Registration Form

Preschool Registration Form

August 2025-May 2026
It is important that you complete all parts of the application. If your application is incomplete, your application may not be accepted. Registration is first come, first served. We will be in contact to finalize your registration. Thank you!

Resident Registration begins Feb. 24. Non-Resident Registration begins March 10.

Questions? Visit our website or contact us!

Pat Shephard Center (Open Monday-Friday, 9 a.m.-4 p.m.)
Phone: 847-490-7036
Email: preschool@parkfun.com
Address: 421 N. Springinsguth Road, Schaumburg
Participant Information

Please submit a separate registration form for each participating child.
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Date
Child's Age*
Child's Gender*

GirlBoy
Child's Primary Language*
Americans with Disabilities Act/Special Needs: Special accommodations are needed for this participant.*

YesNo
A.D.A. Statement: Schaumburg Park District intends to comply with the intent and spirit of the Americans with Disability Act. If you need any special accomodations, please call the Park District at 847-490-7015 or email hello@parkfun.com so that we can make the necessary arrangements for you.
Primary Caregiver Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone Number*
Please enter a valid phone number.
Cell/Emergency Phone Number
Please enter a valid phone number.
Email*
example@example.com
Preschool Programs

Please provide information on your first and second choice of class in the event we are not able to accommodate your first choice.
Click here to view the 2025-2026 Preschool Information Packet to view preschool offerings and barcodes!

You can also view the latest Schaumburg Park District Program Guide at parkfun.com/guide!
Preschool Program Selection: First Choice (Click the grey "Add Row" button to add additional classes to your first choice):*
Preschool Program Selection: Second Choice (Click the grey "Add Row" button to add additional classes to your second choice):
Extended Day Programs

If you would like to add any extended day programs, please complete this section!
Click here to view the 2025-2026 Preschool Information Packet for our Extended Day Programs!

You can also view the latest Schaumburg Park District Program Guide at parkfun.com/guide!
I am interested in adding Extended Day Program(s) (Click the grey "Add Row" button to add additional extended day programs):
Document Upload

A government issued birth certificate and valid proof of residency is required to complete enrollment. Please upload a copy of these documents.
Upload a copy of the child's government-issued birth certificate. Hospital or baptismal certificates are not acceptable.*

Cancelof
Upload proof of residency (driver's license or current utility bill verifying your current address)*

Cancelof
Authorizations
Payments*

I want to enroll in autopay for my monthly Schaumburg Park District Preschool payments starting August 1 through April 1. The Preschool office will call the main contact phone number provided to complete setting up autopay at the time of registration.I want to make my payments monthly by the 1st of the month (no automatic payments).
Please complete a separate registration form for each child.

A separate, original submission must be completed for each child participating in preschool.
Should be Empty:

Preschool Registration Form

Participant Information

Primary Caregiver Information

Preschool Programs

Click here to view the 2025-2026 Preschool Information Packet to view preschool offerings and barcodes!

Extended Day Programs

Click here to view the 2025-2026 Preschool Information Packet for our Extended Day Programs!

Document Upload

Authorizations

Please complete a separate registration form for each child.