PRESCHOOL REGISTRATION

Registration Fee (non-refundable) $30.00
Supply Fee $25.00
==================================
TOTAL DUE = $55

Child's Name*
First Last
Child's Birth Date*
Date Format: MM slash DD slash YYYY
Parent's Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email Address
Home Phone*
Cell Phone*
The next step will be your online payment. Payment submitted secures your spot. No spots will be held without payment