JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Preschool Registration
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Which Class Are you Signing Up For?
*
M-F Morning 8:45-11:45 ($425/month)
T/W/Th Afternoon 12:15-3:15 ($275/month)
Parent's Name
*
Your answer
Parent's phone
*
Your answer
Child's Name
*
Your answer
Child's DOB
*
MM
/
DD
/
YYYY
Allergies
*
Your answer
Emergency Contact
*
Your answer
Authorized to Pick Up Child
*
Your answer
What would you like for your child to get out of Preschool
*
Your answer
Agree to Terms and Conditions
*
Terms and Conditions
Yes
Required
Agree to
Permissions
*
Yes
No
Registration Paid - $99 Venmo @Jill-Siepert
*
Yes
No - Spot will not be held until Registration Received
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
