Preschool Registration Form

ADVERTISEMENT

STONERIDGE PRESCHOOL REGISTRATION FORM
Date:_____________________, 20______
Name of Child:__________________________________
Nickname:_______________________
Email Address: _____________________________________________
Address:___________________________________________________________________________
Date of Birth:________________________ Home Phone Number:___________________________
___________ 2-Day program (3 year old)
___________ 3-Day program (4/5 year old)
Father:_______________________________ Occupation:__________________________________
Business/Cell Phone:_____________________________
Mother:_______________________________ Occupation:__________________________________
Business/Cell Phone:_____________________________
If Parents are employed, who cares for child?______________________________________________
Address:_________________________________ Phone Contact:_____________________________
Name and ages of brothers and sisters:___________________________________________________
_________________________________________________________________________________
Church Affiliation:___________________________________________________________________
Has this child attended a preschool previously? _________________________
Details (where, when, etc.)_____________________________________________________________
In case of emergency contact:
Name:____________________________________ Telephone:_______________________________
Name:____________________________________ Telephone:_______________________________
The following people have permission to pick up and transport my child:
Name:____________________________________ Telephone:_______________________________
Name:____________________________________ Telephone:_______________________________
--------------------------------------------------------------------------------------------------------------------------
This form and a registration fee of $35.00 should be returned to:
Stoneridge Preschool 811 Dressel Road Allison Park, PA 15101 Phone: 412-486-7778
This registration fee is non-refundable. It includes administrative costs, insurance, and holds your
child's place in class. Checks should be made payable to: STONERIDGE PRESCHOOL.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Life
Go