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Rock Springs Preschool Registration
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* Indicates required question
What is your child's name?
*
Your answer
Do you have a preference on a teacher?
Your answer
How many days a week do you want your child to attend?
*
2 Days
3 Days
4 Days
Which session time do you prefer?
*
8:30-11:30
9:00-12:00
1:00-4:00
1:30-4:30
What is your child's ethnicity?
*
White
Hispanic
African American
American Indian or Alaskan Native
Asian
Native Hawaiian or Pacific Islander
Who is your employer and phone number?
*
Your answer
What is your yearly income?
*
Under $20,000
$20,001-$40,000
$40,001-$60,000
$60,001-$80,000
$80,001-and Above
Please list all members in the household and relationship to your child if applicable:
*
Your answer
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