Celebration Preschool 2024-2025 Application for Pre-K (Must be 4 years old by September 30, 2024.)
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Child's First Name *
Child's Last Name *
Registration Type *
First Choice *
Second Choice
Third Choice
Fourth Choice
Fifth Choice
Name to be used/recognized in the classroom *
Gender *
Age (as of September 30, 2024) *
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
City *
State *
Zip Code *
Mother's/Guardian's First and Last Name *
If different from above - Mailing Address (Street, City & Zip Code)
Primary Phone Number *
Secondary Phone Number
Mother's/Guardian's Email Address *
Father's/Guardian/s First and Last Name *
If different from above - Mailing Address (Street, City & Zip Code)
Primary Phone *
Secondary Phone
Father's/Guardian's Email Address *
Person(s) with legal custody of child (if not parent/guardian, please indicate the relationship to the child) *
Name of person to contact when parents cannot be reached *
Relationship to child *
Primary Phone Number *
Secondary Phone Number
Schools previously attended by your child and dates attended
Will your child need special services in the classroom? (speech, OT, PT, IEP, other) *
If yes, please list any special services
Does your child have any allergies? *
If yes, please list any allergies
Will your child require medication while at preschool? (Such as an Epi-pen) *
If yes, please list any medications
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