I would like to apply for admission of my child to the:
3 Year Old Class (Tuesday/Thursday: 9:00 AM to 11:30 AM)4 Year Old Class (Monday/Wednesday/Friday: 9:00 AM to 11:30 AM)

Date:

Child's Name:

Address:

City: State:

zip:

Birthdate:
Sex:MaleFemale      Phone:

Father's Name: Home Phone:

Father's Address(If Different From Child's):

Father's Occupation:      Business Phone:

Father's Business Address:

Father's Email: Father's Cell Phone:

Mother's Name: Home Phone:

Mother's Address(If Different From Child's):

Mother's Occupation:      Business Phone:

Mother's Business Address:

Mother's Email: Mother's Cell Phone:

If we are unable to reach a parent in an emergency, is there someone else we could call?
(Example: Grandparent, Neighbor, or Friend)

Name: Relationship:

Address: Phone:

To what church do you currently belong or are currently attending?

Does your child have any physical limitations? If so, please explain

What do you hope your child will acquire from his or her preschool experience?

OTHER MEMBER'S OF HOUSEHOLD

Name: Age: Relationship:

Name: Age: Relationship:

Name: Age: Relationship:

Name: Age: Relationship:

ADMISSION REQUIREMENTS

1. Child must be 3 or 4 years old before September 1st.
2. Child must be toilet trained.
3. Parents are responsible for getting child to and from school
4. In order for the preschool year to be value, every effort should be made for the child to attend regularly.
5. The Preschool reserves the right to determine the eligibility of any child who needs a specialized program.

By filling in the below block, you agree that you are digitally signing this document.
Parent's Signature:

Date:

**A NON-REFUNDABLE $60.00 REGISTRATION FEE MUST BE SENT IN TO THE PRESCHOOL. MAKE CHECKS PAYABLE TO: THE LAMBS CHRISTIAN PRESCHOOL

Please send the registration fee to:

How did you happen to hear about our preschool: