Lil’ SAINTS Preschool

INTEREST/ PRE-REGISTRATION

FORM

Today's Date:
Childs Name:
Parent/Guardian's Name:
Parent/Guardian's Email:
Home Phone:
Emergency Phone
Child's Birthday
Childs Sex Male Female
Preferred Days Tues/Thurs MWF M-F
Session of Interest Fall 2009 School year 2009/2010
Medical/Mobility Concerns