Pre-School Enrollment
Pre-School Enrollment
Parent/ Guardians Name  * 
Childs Name  * 
Childs Birthdate: (ex.11/21/2012)  * 
Mailing Address:  * 
Home Phone:  * 
Cell Phone:
Days will attend each week: (either Tuesday, Wednesday, Thursday or multiple days.)  * 
Pay Online  * 
For your convenience you can set up an automatic monthly payment in our online system. Just click in the online giving section of our webpage and it will walk you through.
Your Email Address  * 
Total $
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