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Preschool Registration Form

2018-19

Please fill out one form for each child.

Student information (1)
Child's Name
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Date of Birth //
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Gender
Student information (2)
Child's Name
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Date of Birth //
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Gender
Parent Information
Father's Name
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Dad's Cell Phone --
Mother's Name
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Mom's Cell Phone --
Home Phone --
Home Address
Email
Tuition Information 2 days per week - $100/month & $15 snack fee/quarter 3 days per week - $135/month & $20 snack fee/quarter
Class preference
The 2-day program is for 3 and 4 year olds. Child must be age 3 by July 15 and potty trained. The 3-day program is for those entering Kindergarten the following year. Age 4 by July 1
Transportation needed
Transportation available in Holdrege for $2.75 per day
Registration fee  
Quantity Extended

Preschool Registration Fee | $25.00

Your form is not considered complete until the office receives your non-refundable $25 registration fee. Your payment can be made to the office, by mailing a check or stopping by the office at 1206 Logan St. If you have questions call the office at (308)995-4590.

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