Preschool Registration In addition to completing and submitting the form below, please submit a $25 non-refundable registration fee. Preschool Registration 3 or 4 year old preschool class?*3 Year Old4 Year Old4 year old Preschool classes are three days Mon/Wed/Fri 9:00-11:30 am | 3 year old Preschool classes are two days Tues/ Thurs 9:00-11:30 am | *Depending on registrations, we may also have an afternoon class (12:30-3:00 pm) availableFull Name of Child* First Last Child's Nickname First Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Present Age*Date of Birth* Date Format: MM slash DD slash YYYY Gender*MaleFemaleHome Phone*Email* Mother Cell*Father Cell*Mother’s Name* First Last Mother's Occupation*Mother's Work PhoneFather’s Name* First Last Father's Occupation*Father's Work PhoneSibling Names, Birth Dates, and AgesChurch Affiliation*Emergency Contact (Name, Telephone, and Relationship) if parent cannot be reached*Doctor’s Name and Telephone*Do you wish your child to be taken to St. Clair Emergency Room in case of emergency?*YesNoIs your child right or left handed?*Potty Trained?*Does your child have any allergies or medical concerns?*Are there any special problems, concerns, or information that will help us understand your child better during the class time?*What is the primary language used at home?*Does your child understand spoken English?*YesNoDoes your child speak English?*YesNoHow will you submit the $25 non-refundable registration fee?*OnlineMailIn-person at the churchHow did you hear about our school?*Consent* I understandFrom time to time we take pictures during school activities. We post these photos to our website/social media or use them for an end of year program slideshows. Pictures are selected to highlight activities during the school day, our class environment, or special events. We never reference any child by name or give details about any child. If you do not want your child to be photographed, please send in a letter stating your refusal. The pictures will only be used to demonstrate the many ways our students have fun and learn at school!