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