Pre Registration Form


Child Information

Child 1 Information
  • Male
  • Female
  • Full Time
  • Part Time
  • Infant
  • Toddler
  • Primary
  • Lower Elementary
  • Before Care
  • After Care

Child 2 Information
  • Male
  • Female
  • Full Time
  • Part Time
  • Infant
  • Toddler
  • Primary
  • Lower Elementary
  • Before Care
  • After Care

Parent / Guardian Information

Mother / Guardian Information

Father / Guardian Information

Has your child been previously enrolled in a daycare ? Yes     No , please specify

I certify that all the above information on the Student Pre-registration form is true and correct to the best of my knowledge.