Preschool & PreK Registration Interest Form

Please complete the Preschool & PreK Interest Form below. A member of our team will review it and be in touch with you shortly. If you have more than two children to enroll in the program, please complete the form more than once.

Registration Fee: $199
(Full amount due regardless of start date)

If you have an immediate need, please contact our office at 480.813.2796

You can also download a copy of the Preschool & PreK Registration Interest Form and turn it into our office.

Completion of the Interest form does not guarantee enrollment.

CHILD INFORMATION

Child's Name

Date of Birth

YYYY

Age

Gender

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Medical Conditions that staff should be aware of and/or that would limit your child's activities

If your child needs any medication, please indicate

Are there any specific ways we can help your child developmentally?

Is your child potty trained?

YES

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name

First Name

Last Name

Email Address

Cell Phone

(###)

###

####

Employer

Phone

(###)

###

####

SECOND PARENT/GUARDIAN, IF APPLICABLE

Name

Email Address

Cell Phone

(###)

###

####

Employer

Phone

(###)

###

####

PROGRAM SELECTION (Please select one.)

NOTE: These programs are subject to change based on enrollment.

4's Pre-K - 3 Day Program

8:30 am - 11:30 am Monday/Wednesday/Friday

Preferred Start Date

YYYY

Sibling Name/Class

Additional information

Preschool & PreK Registration Interest Form

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