LITTLE FRIENDS PRESCHOOL 2025-26 Registration

Date

Preschooler's Information

Child's name

Child's current age [as of date of registration]

Date of birth

Gender

Registering for

School District in which child lives

Child's anticipated kindergarten plan?

Family Information

Home address [to receive correspondence regarding school]

Preferred email address

This address will receive a confirmation email

Preferred phone number [to receive text messages]

Mother's name

Mother's cell phone number

Mother's occupation

Father's name

Father's cell phone number

Father's occupation

Do mother and father live together?

Yes No

If mother and father do NOT live together, who does the child live with during the school week? Are there custody arrangements? Please provide a copy of custody papers.

Siblings [List name and age - if none, please indicate NONE]

Does your family attend church?

Yes No

If your family does attend church, please provide the name of the church.

Guardianship & Others Living with Child

If applicable, please fill out information regarding guardian; if not applicable please leave this portion of the registration blank.

Guardian's Name

Guardian's Cell Phone Number

Guardian's Occupation

Others: List of other adults or children in the home and relationship to child:

Student Background

Has your child attended church, Sunday School, VBS or other organized church-related program?

Has your child had any previous early childhood education experiences?

Does your child have independent bathroom skills [remove and replace clothes, get onto toilet, wipe]?

Describe your child's personality.

Does your child have any speech delays or difficulties; if so, please describe.

Does your child have any special fear we should be aware of?

Are there any medical problems we should be aware of?

Does your child have any allergies; if so, please describe and include how you handle them.

Does your child have any behavioral related challenges we should be aware of?

Are there any special needs or concerns of which we should be aware of?

School Preferences

What name would you like your child to be called at school?

Does your child have a hand preference?

Are there any food restrictions for your child while at school?

4-YEAR-OLD CLASS STUDENTS ONLY: What phone number would like for your child to learn during classroom actitivies?

Share any additional comments to help us understand your child.

Registration Fee

In order to secure a spot in the academic program for the upcoming year a $50 registration fee must accompany this form. You may elect to pay online or in check/cash form.

If you elect to pay with a check or cash, please be aware that until payment is received your child's space in the program is not guaranteed for the upcoming year.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

LITTLE FRIENDS PRESCHOOL 2025-26 Registration

Description

Please Fix the Following