Pre-Enrollment Form
Upon Completing this form you will receive an e-mail with more information about paying the one time enrollment fee as well as how to fill out your enrollment forms online. Please be sure to follow those steps to ensure your child's spot is reserved! If you have any questions please feel free to call us at 620-779-3906.
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Parent Information
First Name *
Last Name *
Phone Number *
E-mail Address
How did you hear about us? *
Child Information
Name *
Date f Birth *
Gender
Clear selection
Potty trained? (This does not affect enrollment) *
Submit
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