Thank you for your interest in Nativity Preschool. We look forward to welcoming your child into our half day/school day program. New families will be accepted on a first come, first served basis.
We are: *
Parent 1 First Name: *
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Parent 1 Last Name: *
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Parent 1 Address(Street, City, State, Zip): *
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Parent 1 Preferred Phone Number: *
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Parent 1 email: *
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Parent 2 First Name:
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Parent 2 Last Name:
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Parent 2 Address(Street, City, State, Zip):
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Parent 2 Preferred Phone Number:
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Parent 2 email:
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Child 1 Name: *
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Child 1 Birthdate: *
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Child 1 allergies or special needs or N/A: *
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Child 1 Date of Toilet Training (approximate): *
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Child 2 Name:
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Child 2 Birthdate:
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Child 2 allergies or special needs or N/A:
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Child 2 Date of Toilet Training (approximate):
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We would like child 1 registered in the following program(s) as a first choice: *
We would like child 1 registered in the following program(s) as a second choice: *
We would like child 2 registered in the following program(s) as a first choice:
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We would like child 2 registered in the following program(s) as a second choice:
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Current School Families will have their $75.00 non-refundable registration fee charged to their FACTS account. New Families will be sent a link to pay for this fee upon acceptance in February. Please sign and date below to agree to these charges. *
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Date: *
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A copy of your responses will be emailed to the address you provided.