Preschool Registration 2022-23
Child Name
*
Date of Birth
*
Phone Number
*
Preferred Name
Present Age
*
Gender
*
Male
Female
Address
*
Parents Marital Status
*
Single
Engaged
Married
Partner
Widowed
Divorced
Separated
Father's Name
*
Address (if Different)
Mobile Number
Email Address
Mother's Name
*
Home Address (if different)
Email Address
Other Family Members and Ages
Allergies/Concerns
*
Class Choice - Please pick 1st and 2nd
1st Class Choice
*
3 year old 2 Day (Monday, Tuesday)
2nd Class Choice
*
3 year old 2 Day (Monday, Tuesday)
Submit