Upcoming School Year Registration Form Child's Name* First Last Child's NicknameDate of Birth* MM slash DD slash YYYY Gender* Male Female History Sibling Alumni New Student Class Requesting: (Please indicate your 1st and 2nd choices. Classes are assigned based on a first come, first served basis)MWF am (3-5 yrs) $260Please select...First ChoiceSecond ChoiceThird ChoiceT/TH am (3-5 yrs) $195Please select...First ChoiceSecond ChoiceThird ChoiceM/T/W/T/F (3-5 yrs) $405Please select...First ChoiceSecond ChoiceThird ChoiceEnrichment Enrichment from 8:00-8:50am on Wednesdays and Fridays for $120/month(8:45-9:00 is transition time into the morning class)*There is a $75 non-refundable registration fee that must be submitted with this registration form, payable by cash or check to: Precious Lambs Preschool. Registration forms can be placed in the registration box located near the director’s office or mailed to Precious Lambs Preschool.How did you hear about Precious Lambs?*Referral by FriendDrive-ByMailingNewspaperOtherEthnicity (Check all that apply) Caucasian African-American Hispanic Asian Native American Other *We do not discriminate on the basis of race, color, national, or ethnic background.Date MM slash DD slash YYYY Parent Name* First Last Email* SignatureFamily InformationAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Marital Status*Please select...MarriedSeparatedDivorcedWidowedSingleFather's Name* First Last Father's OccupationFather's Work Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father's Work PhoneFather's Cell PhoneMother's Name* First Last Mother's OccupationMother's Work Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mother's Work PhoneMother's Cell PhoneReligionHome ChurchSiblings Names and AgesPhoneThis field is for validation purposes and should be left unchanged. Δ
