Challenge School Preschool Registration
Child's Name (FirstName LastName)
*
FirstName LastName
Child's Date of Birth
*
/
Month
/
Day
Year
Date
Child's Sex
*
Male
Female
Mother/Guardian Name
*
FirstName LastNAme
Mother's/Guardian's Cell Phone
*
Format: (000) 000-0000.
Mother's/Guardian's Email
*
example@example.com
Father/Guardian Name
FirstName LastNAme
Father's/Guardian's Cell Phone
Format: (000) 000-0000.
Father's/Guardian's Email
example@example.com
Child's Home Address
*
Schedule and Campus Preferred
*
Please Select
San Mateo Campus
San Carlos Campus
Fremont Campus
Foster City Campus
When do you want your child to start?
*
/
Month
/
Day
Year
Date
What's your child's first language at home?
*
Important medical limitations and special conditions
*
allergies to medicine or food, Asthma etc
Does your child have any previous childcare experience
*
How did you hear about Challenge School
Referral
Web Search
Yelp
Open House
Other
If referral, please name the provider
Math Captcha
My Products
*
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Non-refundable Challenge School Registration Fee
$100.00
$
100.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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