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  • Keller Christian School

    2026-2027
    • Child's Information 
    • Gender*
    • Date of Birth*
       - -
      2 digit month, 2 digit day, 4 digit year

    • Enrollment is open to children between 2 and 5 years of age. Children must be the age of their prospective class by September 1st. Children must be completely pottytrained to participate in our 3 and 4 year old classes.

    • Parent/Guardian Information 
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Student Lives with:*
    • Other Information 
    • Has the child attended any preschool previously?
    • Please select if you suspect
    • Please select any medical and/or psychological diagnoses the child currently has

  • Emergency Contact

    Provide a name, address, and phone number of a person other than the parents/guardians to call in case of emergency if parents cannot be reached.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Does your child have any allergies?*
  • Policy Holder's DOB
     - -
    2 digit month, 2 digit day, 4 digit year
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  • Policy Agreement


    I accept the policies and regulations of the Keller Christian School and release Keller Christian School and the Keller church of Christ from any liability for injuries or illness resulting from conditions and circumstances beyond its control.


    I hereby agree to pay the $200 tuition fee before the 10th day of each month, September through May.  Checks should be written to Keller Church of Christ.


    If for some reason the payment cannot be made on the first day of each month, I agree to make arrangements for payment through the school director.  It is understood that if I fail to uphold this obligation for a period of 30 days, said student is subject to suspension.

  • I will pay my non-refundable registration/supply fee by
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Photo Release

    I hereby give permission for the staff at Keller Christian School to photograph my child for the following purposes.

  • Please check all that apply:
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: