JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2021-2022 MHNS Pre-Registration For New Students
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Birthdate
*
Your answer
Gender
*
Male
Female
Does your child have allergies that require medication?
*
Yes
No
1st Caregiver/Guardian
*
Your answer
2nd Caregiver/Guardian
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone Number
*
Your answer
Cell Phone Number
*
Your answer
Email Address
*
Your answer
Tell us how you found us
*
A Friend
A Staff Member
Our Print Ad
An Online Search
Facebook
Returning Family
First Choice
*
Please check the class you would be interested in for the upcoming school year
2 Day 2s 9:00am-11:30am M/W
2 Day 2s 9:00am-11:30am T/Th
2 Day 3s 9:00am-11:30am T/Th
2 Day 3s 12:30pm-3:00pm T/Th
2 Day 3s 9:00am-1:00pm T/Th
3 Day 3s 9:00am-1:00pm T/Th/F
3 Day 4s 9:00am-11:30am
3 Day 4s 12:30pm-3:00pm
3 Day 4s 9:00am-1:00pm
4 Day 4s 9:00am-1:00pm
5 Day 4s 9:00am-1:00pm
Second Choice
*
Please check the class you would be interested in for the upcoming school year
2 Day 2s 9:00am-11:30am M/W
2 Day 2s 9:00am-11:30am T/Th
2 Day 3s 9:00am-11:30am T/Th
2 Day 3s 12:30pm-3:00pm T/Th
2 Day 3s 9:00am-1:00pm T/Th
3 Day 3s 9:00am-1:00pm T/Th/F
3 Day 4s 9:00am-11:30am
3 Day 4s 12:30pm-3:00pm
3 Day 4s 9:00am-1:00pm
4 Day 4s 9:00am-1:00pm
5 Day 4s 9:00am-1:00pm
Enrichment Class 1:00pm-3:00pm
*
Yes
No
Comments:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms