Early Learning Academy Registration
- Child must be four years old before enrollment start date.
- Child must be toilet trained.
- Early bird special: Register before July 31st and receive $20 off of first month's tuition.  
- First month's tuition due August 15th.
- For more information about the program or scholarships please email lleonard@idaho.church.

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Child's Name
Nickname (Goes By)
Date of Birth
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Age
Gender
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Lives with
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Name(s) and Age(s) of Siblings
Has your child had previous daycare or preschool experience?
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If your child has had previous preschool experience, please indicate where and when.
Does your family attend church?
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If your family attends church, please indicate where.
Are you currently or planning to home school your child?
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If you are home schooling, please indicate the curriculum that you plan to use.
Does your child have any allergies or medical conditions we should be aware of?
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Google 表單