The NET Preschool
Enrollment Inquiry
Parent Name
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Date that you will need care
*
-
Month
-
Day
Year
Date
Will you be needing Full-Time care or Part-Time care?
Full Time
PT- 2 Days
PT- 3 Days
PT- Other
Child's Name
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Child # 2 Name (If Applicable)
First Name
Last Name
Child # 2 DOB (If Applicable)
-
Month
-
Day
Year
Date
How did you hear about us?
Do you have any additional comments or information?
Submit
Should be Empty: