Preschool Registration Form printable pdf download

KIDS PALACE PRESCHOOL REGISTRATION FORM

Child’s Information

First Name: ____________________________ Last Name: ______________________________

Physical Home Address: __________________________________________________________

City: ________________________________________ Postal Code: ______________________

Birthday: _________________________________________

Male______

Female______

Parents or Guardians

First Name: ____________________________ Last Name: ______________________________

Relationship: _________________________ Email address: _____________________________

Physical Home Address: ________________________________________Box # ____________

City: _________________________________________ Postal Code: _____________________

Phone number: ___________________________ Cell number: ___________________________

Place of Work __________________________________________________________________

Physical Work Address: __________________________________________________________

City: _________________________________________ Postal Code: _____________________

Work Number: _____________________________

First Name: ____________________________ Last Name: ______________________________

Relationship: _________________________ Email address: _____________________________

Physical Home Address: __________________________________________________________

City: _________________________________________ Postal Code: _____________________

Phone number: ___________________________ Cell number: ___________________________

Place of Work: _________________________________________________________________

Physical Work Address: __________________________________________________________

City: _________________________________________ Postal Code: _____________________

Work Number: _____________________________

Preschool Registration Form