Preschool Registration Form

Child Name

Date of Birth

Sex

Male

Female

Home Address

City/State/Zip

Mother’s Name

Phone Number

Address

City/State/Zip

Father’s Name

Phone Number

Address

City/State/Zip

Does your child suffer from any allergies, illness, disability or other medical conditions?

Yes

Has your child completed all required immunization?

Yes

Please list immunizations that have NOT been administered to your child.

Do you permit your child to be immunized at school?

Yes

Please give reason:

Is there any other information or issues you would like the teachers to know?

Please select preffered programs:

2 days tuition a week

3 days tuition a week

4 days tuition a week

5 days tuition a week

before school care

after school care

before & after school care

How can we fine-tune this form template to ensure it's the most efficient tool possible for you? Let's personalize it! Edit this Preschool Registration Form

This form's 10-piece set... Zapof ships the 5,000-piece castle! 🏰 Auto-click tables? Satisfying. Spreadsheet instruction book? No missing pages.

Step up your game—explore these standout collections:

This form is protected by Google reCAPTCHA. Privacy - Terms.

Built using Zapof