Form

Faith Lutheran Christian Preschool Registration Form

Note: To print this form, return to the previous page and select Download Form for a printable Acrobat (PDF) copy

Child’s full name:

Nickname:

Child’s birth date:

Baptismal date:

Gender:

Address:

Father's Name:

Mother's Name:

Address:

Cell Phone:

Home Phone:

Work Hours:

Church where member:

Marital status of parents:

Custody, if divorced:

Child’s legal guardian:

Guardian address:

Guardian phone:

Class in which child is to be enrolled: (all classes run from 9:00 a.m. to 11:30 a.m.)

Preschool (child must be three by September 1^st)

c Three days/week – Mon/Wed/Fri

Pre-kindergarten (child must be four by September 1^st)

c Four days/week – Mon/Tue/Wed/Fri c Five days/week – Mon through Fri

* A non-refundable registration fee of $150 is due with this form

Admission Date:

Discharge Date:

Note: Parent Handbooks can be acquired by contacting the Preschool Education Office at (847) 234-2753.