Please fill out the following information to register for our 2012-2013 preschool year.

While we may already have all this information on you, we like to make sure our information is up to date.

Fill out one form for each child you are registering,

however there is no need to fill your home address and such twice.

Parents' Name:

Child's Name:

Home Address:

Zip Code:

Home Phone:

Cell Phone:

DOB:

Email Address:

We will contact you for payment information when we receive your registration.

Please choose all the class you would like to register for:

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3's Tuesday & Thursday 9-124's Monday & Wednesday 9-12Kindergarten Enrich. T/TH 1-4pm

3's Tuesday & Thursday 9-124's Monday & Wednesday 9-12Kindergarten Enrich. T/TH 1-4pm

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