Multi Age Class T/TH Three-Year-Old Group

T/TH Group Preschool Class

Little Lamb Preschool
Information of Child
Name*

First NameLast Name
Nickname
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Information of Parent or Guardian
Name*

First NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Information of Parent or Guardian 2
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact 1
In the event of an emergency, please contact:
Name*

First NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Medical Information
Doctor's Name

First NameLast Name
Doctor's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any of the following: Current medications, medication allergies, food allergies, or chronic health concerns.
There is a $50 non refundable fee to register. Once the fee has been submitted your child is officially registered for Little Lamb Preschool. Expect to hear from our treasurer in the next few weeks with more information.
Registration Fee

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T/TH Group Preschool Class