Kingdom Premier Registration Form

Kingdom Premier Registration Form

To secure a spot in our royal faith based preschool, you must complete the form below accurately. You must complete a separate form for each child. 1 Peter 2:9
Child's Name

First NameLast Name
Child’s Age
Child’s birthdate

MonthDayYear
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Youth T-shirt size ($39; mandatory for ages 3-5 only, not required for drop in care)

Other
Please provide any medical or dietary restrictions of the child. Please list allergies.
Type N/A if this doesn't apply.
How did you hear about us?
If Referral, who should we thank for the connection?

School Information
Is your child fully potty trained? Must be fully potty trained to attend our pre-k program which is 3-5 years old. Not required for children under 3 to attend our school.
Select the class(es) you want below:

Family Information
Parent/Guardian's Name

First NameLast Name
Contact Phone Number
Format: (000) 000-0000.
E-mail Address
example@example.com
Parent/Guardian's Name

First NameLast Name
Contact Phone Number
Format: (000) 000-0000.
E-mail Address
example@example.com
Legacy Custody Limitations?
If Yes, please explain:

What is most important to you in a preschool program?
In 300 words or less, please describe below:

0/300
I understand that a non-refundable registration and enrollment fee is required to secure my child’s spot at Kingdom Premier School of Early Learning.
- I acknowledge that payment of this fee does not guarantee enrollment until all required tuition and documents are submitted and reviewed.
- I understand that this fee is non-refundable under all circumstances, including withdrawal before the start date or failure to complete the enrollment process.
- I understand that spots cannot be held without payment of this fee.
- I understand that spots cannot be held over 21 days.
- I agree to pay the required registration/enrollment fee as communicated by Kingdom Premier.
Signature
Should be Empty: