Clone of 2026-2027 MMP Application

Child's Name*

First NameLast Name

Gender*

MaleFemale

Birthdate*

Date

Child's Enrollment: *

Address*

Street Address

CityState / Province

Zip Code

Mother's Name*

First NameLast Name

Cell*

E-mail*

Father's Name

First NameLast Name

Cell

E-mail

Is your child current on all immunizations and will your child be current with the first day of school for the 2026-2027 school year?*

YesNo

Does your child have any dietary constraints or allergies?*

YesNo

If yes please list, including any food or drug allergies.

Does your child require any medication? If yes, please list these medications.

Does your child have any behavioral concerns, physical limitations, delayed development or other health considerations? If so, please provide more details about these needs.*

Has your child ever been recommended for or screened for any psychological or educational testing?*

If so, tell us more about his or her testing and when tested.

Child's Physician*

Physician's Practice*

Does your child have any siblings that are enrolling at MMP?*

Do you give permission for your family to be listed in school directory? (this will include child's name, parent's name, email, home address and phone)*

Photo Release: Do you give permission to post pictures of your child (without any name) on our social media and website?*

Would you like to learn more about Messiah Moravian Church?*

Emergency Contact Full Name- 1*

First NameLast Name

Emergency Contact Cell - 1*

Emergency Contact Relation - 1*

Emergency Contact Full Name - 2

First NameLast Name

Emergency Contact Cell - 2

Emergency Contact Relation - 2

My Child is:*

New studentSibling to a MMP alumni

Comments

Terms of Enrollment

Registration Fee and First Month's tuition are non-refundable.
Registration Fee of $160. With the initial Open Enrollment period, your family will be informed by February 20 of your child’s status. If your child is accepted, registration fee is due by March 1 to secure your child’s spot.
First month's payment is due June 1, 2026
Fees are based on the 2026-2027 school year and allows parents to pay 9 equal tuition payments.
MMP Health Form, NC Immunization Registry and any necessary medical forms (e.g. Medical Action Plan) are due by August 1, 2026. The Health Forms must show that all immunizations are current as of the date that the child is eligible. The completed forms must be on file in the preschool office before child can attend school.

TUITION RATES: Yearly Costs

Toddler Class

2 days (days to be determined) - $3,150

Two's Class

2 days (WF) - $3,150

3 days (MTTH) - $3,465

Three's Class

3 days (MTTH) - $3,285

4 days (M-TH) - $3,645

Four's Class

4 days (M-TH) - $3,645

Readiness Class

5 days (M-F) - $4,050

Please type in your first and last name and sign to certify that all of the information provided in this application is true and accurate and that you agree to all the Terms of Enrollment.

Parent Name*

First NameLast Name

Signature*

2026-2027 Application

Child's Class Choice

Family Information

Other Information

Emergency Contact - Other than Parent/Guardian