Small World Preschool Interest Form for 2024/2025 School Year
North Bend, WA 98045
Full Name of Child
*
First Name
Last Name
Gender
*
Male
Female
Other
What class will you be applying for
*
Preschool
Pre - K
How many days a week would you like your student to attend Small World Preschool?
Please Select
2 days/ week
3 days/ week
5 days/ week
Are you interested in half days or full days?
Please Select
Half days - 9:00am - 11:45am or 12:15am - 3:00pm
Full days - 9:00am - 3:00pm
Are you interested in receiving Summer Camp Information for your child?
Yes
No
Age on September 1, 2024
*
Date of Birth
*
-
Month
-
Day
Year
Has your child previously attended preschool?
*
yes
no
If yes, previous school attended by child?
How did you hear about Small World Preschool?
*
Tell us your preschool goals for your child?
*
Parent/Guardian Name #1
*
First Name
Last Name
Relationship to Child
*
Father
Mother
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Do you accept text messages?
yes
no
Parent/Guardian Name #2
First Name
Last Name
Relationship to Child
Father
Mother
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Primary phone Number
Please enter a valid phone number.
Cell phone Number
Please enter a valid phone number.
Do you accept text messages?
yes
no
Other children in family
Submit
Should be Empty: