Preschool Child Information Form

Please fill out the below form if your child is ALREADY ENROLLED in our program.
This is NOT for preschool registration.


Please write your child's name and Preschool Information Form in the Subject Line
Today's Date *
Today's Date
Child's Information
Child's Name *
Child's Name
Child's Date of Birth *
Child's Date of Birth
Child's Home Address *
Child's Home Address
Parent/Guardian 1 Information
Parent/Guardian 1 Name *
Parent/Guardian 1 Name
Parent/Guardian 1 Address *
Parent/Guardian 1 Address
Parent/Guardian 1 Primary Phone *
Parent/Guardian 1 Primary Phone
If you are self employed, please write "Self." If you are currently not working, please write "not currently working." If you are a stay at home parent, please write "stay at home parent."
Parent/Guardian 1 Work Number *
Parent/Guardian 1 Work Number
If your work number is the same as your cell phone, please re-write your cell phone number
Parent/Guardian 1 Work Address *
Parent/Guardian 1 Work Address
Parent/Guardian 2 Information
Parent/Guardian 2 Name
Parent/Guardian 2 Name
Parent/Guardian 2 Address
Parent/Guardian 2 Address
Parent/Guardian 2 Primary Phone
Parent/Guardian 2 Primary Phone
If you are self employed, please write "Self." If you are currently not working, please write "not currently working." If you are a stay at home parent, please write "stay at home parent."
Parent/Guardian 2 Work Number
Parent/Guardian 2 Work Number
If your work number is the same as your cell phone, please re-write your cell phone number
Parent/Guardian 2 Work Address
Parent/Guardian 2 Work Address