2024-2025 Congregational Preschool 4K Registration
Children must be 4 years old on or before September 1st, 2024. 
A registration fee is not applicable to Monday-Friday publicly funded 4K classes. You must also complete registration requirements through the La Crosse School District to be completely enrolled. 
NOTE: Congregational Preschool reserves the right to cancel a class in the unlikely event of low enrollment. Every effort will be made to offer alternative times for attendance.
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Email *
Student's Name *
Student's Birthdate *
Student's Gender *
Student's address (City, State, Zip) *
Parent/Guardian Name *
Phone Number *
Email *
Additional Parent/Guardian Name (include if wanted on school communications)
Phone Number
Email
Please indicate any medical, developmental, or behavioral concerns for your child: *
AVAILABLE SESSIONS: Select your preferred day/time. Please indicate 1st and 2nd choice. *
M-F Morning (8:30-11:15am)
M-F Afternoon (12:15-3:00pm)
1st Choice
2nd Choice
Teacher Request: If you would like to request a specific teacher, list their name below. We will do our best to assign you to that classroom.
Surround Care is available from 7:30am-5:30pm, but space is limited. Please select the days and times your child needs care. *
7:30am-8:30am
8:30am-3:00pm (includes class and Lunch Bunch time)
3:00pm-5:30pm
No Surround Care
Monday
Tuesday
Wednesday
Thursday
Friday
Lunch Bunch is also available daily- children bring a lunch from home and enjoy extra play time.  Please select any days you would like your child to attend Lunch Bunch. *
Required
Is there anything else you would like us to know about your child?
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