2024-2025 Preschool Registration

Please fill out this form and drop off a registration fee of $125 for one child or $175 per family registration fee to our office to reserve a place for your child(ren). This fee is non-refundable.

If you prefer, you can print and fill out a hard copy here

Child's Name

First Name

Last Name

Child's Sex

Female

Male

Birth Date

YYYY

Is your child Potty Trained?

Yes

To better meet the needs of your child, please share if there are any concerns we should be aware of: (required)

(e.g., allergies, restrictions, conditions)

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Physicians Name

First Name

Last Name

Physician's Phone Number

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Parent/Guardian 1 Name

First Name

Last Name

Parent/Guardian 1 Email

Parent/Guardian 1 Home Phone

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Parent/Guardian 1 Mobile Phone

(###)

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Parent/Guardian 1 Work Phone

(###)

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Parent/Guardian 1 Occupation

Parent/Guardian 2 Name (if applicable)

First Name

Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Home Phone

(###)

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Parent/Guardian 2 Mobile Phone

(###)

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Parent/Guardian 2 Work Phone

(###)

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Parent/Guardian 2 Occupation

In case of emergency, what is the best way to reach you?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What days & times would you like to your child(ren) to attend?

Day Options: - Mon-Fri - Mon/Wed/Fri - Tues/Thurs Time Options: - Half Day (9-12) - Morning w/ Lunch (9-12:30) - Full Day (7-5)

2024-2025 Preschool Registration

First United MethodistPreschool

First United Methodist
Preschool