Preschool Age Enrollment (Ages 2 - 4 yrs)
Please fill out this form and click submit.
Child's First Name
*
Last Name
*
Date
*
Parent's Info (Contact Info):
Mother's Name:
Mother's Cell:
Father's Name:
Father's Cell:
Child's Info:
Child's Birthdate:
*
Is your child allergic to anything?
*
Who has permission to pick up your child from class?
*
Child's Siblings & Ages:
Are there any physical limitations or health concerns we should be aware of to best care for your child?
My child is
*
Please select one option.
In diapers
In the process of potty training
Using the potty
If so, do you give King's Chapel staff and volunteers permission to assist your child in changing diapers or going to the toilet?
*
Please select one option.
Yes
No
Does King's Chapel staff and volunteers have permission to use your child's photo/video for:
*
Please select one option.
Social Media and Websitepromotionals
To share with parents
I do not give permission for any purpose
Submit
Description
Please fill out this form and click submit.
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