River of Living Water Preschool         2019-2020 Registration
Please complete form to register child for 2019-2020 school year. If multiple children with us, each child must have his/her individual form.  
Sign in to Google to save your progress. Learn more
Child's full name *
Nickname or name to be called *
Age (on September 2, 2019) *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
We offer 2 days and 4 days a week programs.  
We offer a Monday/Wednesday or Tuesday/Thursday class for 2 days a week students, and a Monday-Thursday class for 4 days a week.
Click on the class for which your child is registering. We will do our best to accommodate your needs.
Ones: (children need to be walking for admission into this class)
Clear selection
Twos:
Clear selection
Threes: (children need to be potty trained for admission into this class)
Clear selection
Fours:
Clear selection
Responsible Adult's Name *
Mailing Address *
City, State & Zip code: *
Primary contact number *
Home phone
Cell number
Email (required if registering online) *
Registration Fees: Two Days a week $135.00;  Four Days a week $240.00
Your paid registration fee holds your child’s spot.
Registration fee is not refundable
Please make check payable to River of Living Water Preschool. Mail to ROLW Preschool, P. O. Box 790, Jasper, AL 35502 or bring check to Preschool office at 1401 Jones Dairy Road, Jasper, AL 35501. Child is registered AFTER registration fee is received.
Signature (Type your name) *
Thank you for registering and entrusting your child to our care. If you have a question please email the director at preschool1@rolwumc.org or call the office at 205-387-7603.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of River of Living Water United Methodist Church. Report Abuse
Google Forms