NC Pre-K Afterschool Inquiry

Early Childhood Center

Early Childhood Center of West Market Street UMC
Thank you for considering the Early Childhood Center! Please complete this form if you are interested in enrolling your NC Pre-K Afterschool at the Early Childhood Center.

If you have more than one child, please complete one form per child.

Thank You and we look forward to working together!
Child Information

If first name is unknown, please use "Baby"
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Desired Date of Enrollment

MonthDayYear
Date
What NC Pre-K site does your child attend?
Parent # 1 Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com

NC Pre-K Afterschool Agreements
I understand that ECC does not provide transportation for children.
I understand that attendance for NC Pre-K Afterschool is available 2PM-6PM on regular school days and all day on NC Pre-K school closure days.
I understand that our family will adhere to all ECC policies and licensed child care rules and regulations.
I understand tuition is collected monthly.
Signature
Should be Empty:

Parent # 2 Information