Epworth Preschool Application for Enrollment 2022-23 School Year

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This completed form must be submitted by February 1st for Current Families, Returning Families and EUMC Members and February 4th for New Families in order for your child to be eligible for registration. Please fill out one application for each child you wish to enroll.

You will be notified by email of your child's class placement or spot on the wait list by Feb. 11th. Registration fees will be due by Feb. 18th.

New Families who have not previously applied to Epworth and who are not EUMC members must also submit a $30 application fee by Feb 4th. This is one time fee and covers all siblings applying. To submit your application fee, you may pay online here: https://bit.ly/3kGE7nS or mail a check to 3002 Hope Valley Road, Durham, NC 27707.

Email *

This applicant is a... *

Child's First Name *

Child's Last Name *

Child's Date of Birth *

YYYY

Child's Age as of 8/31/22 *

Child's Gender *

Female

Male

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Other:

Parents' First & Last Names *

Phone Number *

Street Address *

City, State, Zip *

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