Preschool Registration

LIFE School Registration Form
All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.
Nursery/Preschool Registration

8/26/2025 START DATE
How many days a week are you wanting to register for*
Days of the week Required*
Hours required*
After school *
Please select feeder school
Which days for after school care -Please Select*
Student Information
First Name*
Last Name*
Gender*

FM
Birth Date*

MonthDayYear
Home Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

Postal Code
Health Care #*
Doctors Name*

First NameLast Name
Doctors Phone Number*

Area CodePhone Number
Parent/Guardian Information 1
Full Name*

First NameLast Name
Home*

Area CodePhone Number
Mobile*

Area CodePhone Number
Work

Area CodePhone Number
E-mail*
Address - Same As Child*

YesNo
If your address is different than the childs please fill out the info below. Otherwise move onto the next section.
Parent/Guardian 1 Address

Street Address

Street Address Line 2

City

Postal CodeCountry
Parent/Guardian Information 2
Full Name

First NameLast Name
Home

Area CodePhone Number
Mobile

Area CodePhone Number
Work

Area CodePhone Number
E-mail
Address - Same As Childs

YesNo
If your address is different than the childs please fill out the info below. Otherwise move onto the next section.
Address

Street Address

Street Address Line 2

City

Postal CodeCountry
Other Infomation
Is your child immunized?*

YesNo
Does your child have any allergies?*

YesNo
If yes please list, including any food or drug allergies.
Does your child have any medical conditions?
Does your child require any medication? If yes, please list these medications.
Do you authorize us to administer the medications listed above?

YesNo
Please list the people authorized to pick up your child.
Does your child have any siblings?*
If yes, what is their age(s)?
Comments
Emergency Contact - Other than Parent/Guardian
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

City

Postal CodeCountry
Home*

Area CodePhone Number
Mobile

Area CodePhone Number
Work

Area CodePhone Number
All registrations are received and reviewed in a first come, first serve basis.

Please submit a non-refundable $250 deposit to hold your child's spot.

This is not included in tuition. This provides your child with start packets and supplies for the year.

Check

Venmo @britnee-mantis (photo of a dog, last 4 of phone number 2162)

Zelle (#206-949-2162)

Please note your child's name on payment.

Full, first month tuition due July 25, 2025

Tuition due by the 1st of each month thereafter.
Should be Empty:

LIFE School Registration Form

Nursery/Preschool Registration

Student Information

Parent/Guardian Information 1

Parent/Guardian Information 2

Other Infomation

Emergency Contact - Other than Parent/Guardian