AGAPE Registration 2024-2025
Please complete all required fields below.  Your application will be complete when this form is submitted and AGAPE has received your application fee of $100.

All students must be the required age for the class by September 30, 2024 with the exception of the JK students. 

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Email *
Allergies (food, seasonal and environmental)
Child's First Name *
Child's Last Name *
Father's First Name *
Home Street Address including zipcode *
First Choice Class *
An email address to which you want communication to be sent (Please put the BEST email) *
Special Needs
Mother's First Name *
Mother's Last Name *
Second Choice Class *
My child is a *
Date of Birth *
MM
/
DD
/
YYYY
Father's Last Name *
Mother's Cell Phone *
Name of Emergency contact  *
Sex *
Phone number of Emergency contact *
Father's Cell Phone *
I have read the AGAPE Parent Handbook and by signing your name below you agree to comply with the information found within.
 *
Photo release.  I grant AGAPE Preschool permission to take pictures of my child and display those pictures in the school and in any literature produced by the school. *
A copy of your responses will be emailed to the address you provided.
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