Waiting List Application [] 1 Step 1 PreK Enrollment Application Name of ChildLast, First, Middle Child's Date of Birth Address (street, City, State, ZIP)your full name Home Phone Other Phone (i.e. Cell) Name of Parent(s)/Primary Caregiversyour full name Email (We distribute newsletters and other important news through email)a valid email Recommended By:your full name Church Membership At:your full name Previous Preschool or Day Care Attendedyour full name Does your child have an IEP or FSP?If yes, a copy needs to be on file at the preschool.YesNo A registration fee of $98.00 must accompany your application. This fee is non-refundable. The application is not valid unless the application fee has been paid. Because this is a sign up for the waiting list, the registration fee is not necessary unless contacted by us. How do you intend to pay?Already PaidCashCheck Please choose your child's class2/3 Year Olds3/4 Year OldsPreK Please choose your day choiceMark all that applyMonday/Wednesday/Tuesday/Thursday Friday Please choose your time choiceMark all that applyAMPMEitherBoth (Extended Day*) *Special Schedule Notes: Extended days will be offered if 8 or more PreK students combined choose this option. You may choose one or two extended days in conjunction with the A.M. session. Please upload an image of your child's birth certificate to verify your child's date of birth. FileuploadUpload Submit Form Previous Next