Smart PDF Form

Zion Lutheran School
2026-2027 PreSchool Registration Form
Please complete this form and submit it to the ECC Office. After the form is reviewed, you will be notified how to proceed with the enrollment process.
Registration/Enrollment fee is $255.00
Please print and Check All that Apply
Today's Date

MonthDayYear
Date
Child's Name
D.O. B.
Sex
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mom's Name
Cell Phone #
Format: (000) 000-0000.
Address(if different )
Dad's Name
Cell Phone #
Format: (000) 000-0000.
Address(if different )
Mom's Email
example@example.com
Dad's Email
example@example.com
VPK (5 DAY PROGRAM FOR 4 YEAR OLDS 8:30 A.M. – 11:30 A.M.)
Additional Fee Programs for VPK Students
JR or SR PRESCHOOL 8:30 A.M. -12:30 P.M.
NUMBER OF DAYS PER WEEK TO ATTEND JR or SR PRESCHOOL
EXTENDED CARE OPTIONS - (Additional Fees Apply)
Should be Empty:

Zion Lutheran School