Preschool Application

Please fill out the application completely.

If you would prefer to fill out a paper form, please click HERE

Preschool Application

Your Information

First Name

Last Name

Phone

Email Address

Students Information

Student First Name

Student Last Name

Address

City

State

Zip Code

Date of Birth

Who does the child live with?

Both Parents

Mother

Father

Other

Your Name and Realtionship to the child.

Who has legal custody of the child?

Attach legal documents if there has been a legal custody decision

Maximum file size: 2MB

What Language(s) does the child speak at home?

What class is the child enrolling in?

Doodle Bugs (12 to 23 Months)

Leapin' Lizards (2 Year Olds)

Super Kids (3 Year Olds)

Explores (4 Year Olds)

Questioneers (Kindergarten)

What do you hope your child will gain from preschool?

Describe previous experiences your child has had and include dates attended.
(Child Care, Preschool, Community Education, Religious Education).
Enter None if None.

Will your child be participating in any other group programs
this year. If yes, please describe.

If you are human, leave this field blank.