Preschool Interest Form 2022-2023 School Year
Please complete this form to indicate your interest as a peer model in the Little Middies Preschool.  Submission of this form does not guarantee acceptance.  You will be notified if your child has been accepted and you will then be prompted to complete the application packet and provide the $100 non refundable deposit. Preschool Interest Form must be completed no later than March 26, 2022
Email *
Child's Name: *
Date of Birth: *
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Current Age: *
How old will your child be on April 1, 2022 (please use year/month format) (For example 3 yrs/6 months) *
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Address: *
City: *
Parent (s) Name: *
Primary Phone: *
Previous Preschool?  If yes, where?
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