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2020-2021 Christ's Church Preschool Registration Form (Please complete one form for each student).
Address: 745 Davenport Farm Rd, Winterville, NC 28590
Contact us at (252) 353-2967 or preschool@ccg.church
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* Indicates required question
Email
*
Your email
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's Gender
*
Female
Male
Parent's / Legal Guardian's First Name
*
Your answer
Parent's / Legal Guardian's Last Name
*
Your answer
Parent's / Legal Guardian's Relationship to Child (Mother, Father, etc.)
*
Your answer
Street Address
*
Your answer
Street Address Line 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone Number
Your answer
Work Phone Number
Your answer
Mobile Phone Number
Your answer
Schedule Requested
*
Monday through Friday 9:00 a.m. to 12:00 p.m. (Ages 2-4)
Tuesday and Thursday 9:00 a.m. to 12:00 p.m. (Ages 2 and 3)
Monday, Wednesday and Friday 9:00 a.m. to 12:00 p.m. (Ages 2-4)
Monday through Friday 7:00 a.m. to 6:00 p.m. (Ages 2-4)
I understand I will receive a registration fee invoice in the amount of $150 (will be prorated for mid-year start) which must be paid to secure space for the 2020-2021 school year.
*
Yes
Required
A copy of your responses will be emailed to the address you provided.
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