Learning Tree Preschool

Learning Tree Preschool

Enrollment Form

Download other required consent/health forms here.

Student Information

 
 
 
 
 
 
 
 
(select one) : Hispanic or Latino
Non Hispanic or Latino
 
(select one) : Asian
Black or African American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
White
 
Name: Age:
Name: Age:
Name: Age:
Name: Age:
 
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
 
am snack
lunch
pm snack
 

Parent/Guardian Information

Mother's Information

 
(if different than child's)
 
 
 
 
 

Father's Information

 
(if different than child's)
 
 
 
 
 
 

Authorization to Pick Up

Note: Only authorized persons will be allowed to pick up your child unless prior arrangements have been made. Identification will be required.

 
  If other, specify  
 
December 12, 2017

Note: By submitting this form you are certifying that you are the Parent/Guardian of the child (listed above) and all the information submitted is correct.