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Nazarene Nursery School Registration Form
Before this application is final, a $50.00 non-refundable application fee must be submitted to the office. Please mail to 1401 S. Harrison St., Alexandria, IN. 46001 or go to
https://alexnaz.org/nazarene-nursery-school/
to pay the fee online.
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Email
*
Your email
STUDENT INFORMATION
Class To Be Enrolled In:
*
3 year old (tuition Aug. thru May $155.00 per month) Monday -Friday 8:30 - 11:30
Pre-K (tuition Aug. thru May $155.00 per month) Monday - Friday 8:30 - 11:30
Pre-K (tution Aug. thru May $225.00 per month) Monday - Friday 8:30 - 2:00
Required
Child's Full Name
*
Your answer
Please select your child's gender below:
*
Choose
Female
Male
Child's Birth Date
*
MM
/
DD
/
YYYY
Child's Home Address
*
Your answer
Child's Home Phone Number
*
Your answer
Child's Cell Phone Number
Your answer
Parent's E-Mail Address (If different from above.)
*
Your answer
Number you would like us to text with information about NNS and its operation.
*
Your answer
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