Lucky Ducks Preschool Registration 2024/2025
Please fill out this form to register your child for Lucky Ducks Preschool!  
Contact Ranell Williamson with any questions!
luckyduckspreschool@gmail.com 
971-223-3884
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Email *
What is your child's first name? *
What is your child's last name? *
Gender *
Only answer if different than above:  What name do you want listed on your child's preschool items (cubby, coat hook, art wall, etc.) For example a nickname.
Is your child left handed or right handed? *
Child's Birthday *
MM
/
DD
/
YYYY
Age on September 1st, 2024 *
Please list any allergies and/or other health concerns *
Address where child lives *
Parent/Guardian #1 Name & Cell Phone  *
Parent/Guardian #2 Name & Cell Phone *
Parent/Guardian Email Addresses -- please list anyone to whom preschool emails should be sent *
Whom does child live with? (Mom, Dad, both parents, split custody, other guardian?)  
Please also list any siblings and ages
Please choose the schedule you would like from the options below.  Minimum enrollment of 3 days is required. (This is just to get a general idea, you can update this later if you change your mind.) *
Required
Do you want to add Lunch Bunch?   (Bring lunch from home and stay an extra hour from 12-1pm) 

Additional fee per month is $90 (3 days) or $110 (4 days) and $130 (5 days).
 *
How did you hear about our preschool? *
An optional fee of $40 is offered for a custom Memory Binder with photos of your child & art projects that we collect throughout the year.  The teachers put this together for you and it will be delivered at the end of the year. If you would like one, please answer yes and this fee will be added to your Materials Fee. *
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