Registration
Please fill out this form if your interested in enrolling your child into our school
 Child's Name:
Parent/Guardian Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
Contact me by:
Other Information
Enrollment Checklist
Current Physical, Including an up-to-date Immunizations:
Varicella,
TB Test Results,
Blood Work,
Lead Test,
Current Dental Exam
(for ages 3 - 5 years)
Social Security Card
(for you and your child)
Child's Birth Certificate
Parent/Guardian Photo ID
Proof of Income
$65 - Deposit                                            $65 - Registration Fee
Click here to view our schedule of fees


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