Lil’ SAINTS Preschool
INTEREST/ PRE-REGISTRATION
FORM
Todays Date:
Childs Name:
Parent/Guardian's Name:
Parent/Guardian's Email:
Home Phone:
Emergency Phone
Child's Birthday
Childs Sex
Male
Female
Prefered Days
Tues/Thurs
MWF
M-F
Session of Interest
Winter 2006 (Jan-June)
School year 2006/2007 (Sept-June)
Medical/Mobility Concerns