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Queen Elizabeth Coop Preschool Registration Form 2023/2024
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* Indicates required question
Child's full name
*
Your answer
Name(s) child goes by
*
Your answer
Age of child as of October 31, 2023
*
Your answer
Child's birthdate
*
MM
/
DD
/
YYYY
Home Address
*
Your answer
Home Phone
*
Your answer
Mother's (Caregiver's) Name/Occupation/Cell number/work number
*
Your answer
Mother's (Caregiver's) email address *most of our communication will be through email*
*
Your answer
Father's (Caregiver's) Name/Occupation/Cell number/work number
*
Your answer
Father's (Caregiver's) email address *most of our communication will be through email*
*
Your answer
Marital Status of Parents
*
Your answer
Please state if there are any custody issues
*
Your answer
What session are you interested in?
Tues/Thurs mornings (3-4 years old) $105/month
THIS SESSION IS FULL. PLEASE EMAIL qepreschool@gmail.com TO BE PUT ON A WAITLIST.
*
Mon/Wed/Fri mornings (4-5 years old) $130/month
Required
Does your family celebrate the following:
*
Christmas
Hanukkah
Halloween
Easter
other: please explain______________________________________________________________________
Required
How did you hear about our preschool?
Your answer
What type of activities/toys are of special interest to your child?
*
Your answer
What would you want your child to gain from attending our preschool? (goals and expectations of the program)
*
Your answer
Do you have any other information about your child that the teacher should know about?
*
Your answer
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