Online Registration Form 2018/2019 Preschool Registration2018/2019 Preschool RegistrationIntroductionFirst Name*Last Name* Nickname (optional, for use on nametags, cubbies, etc.)Primary Contact Email*Primary Contact Phone*StreetCity*StateZip Code*Gender* Boy GirlBirthdateClass OptionsClass Options 2Class Options 3Please choose one:* 3 day AM, 4 & 5 yrs old, M/T/H Please put me on the waiting list.TextParent/Guardian 1 Contact InformationFirst Name*Last Name*Email*Home PhoneCell PhoneWork PhoneAddress (if different from child's)TextParent/Guardian 2 Contact InformationFirst Name*Last Name*Email*Home PhoneCell PhoneWork PhoneAddress (if different from child's)SubmitΔ