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Preschool Admission Form - Fremont
CHILD INFORMATION
Name *
DOB *
Address *
MOTHER'S INFORMATION
Name *
Email *
Phone *
FATHER'S INFORMATION
Name *
Email *
Phone *
WHO WILL PICKUP CHILD FROM CENTER
Name *
Email
Phone
EMERGENCY CONTACT
Name *
Phone *
Special Comments
How did you hear about us
PROGRAM DETAILS
Choose your program *
--Select Program--
Toddlers 8-6 pm
Toddlers 8:30 - 2:45 pm
Pre school 8:30-12:30pm
Pre school 8:00 - 6 pm
Preschool 2:45-6pm
Pre K 8:00-6:00 pm
Pre K 8:30-12:30pm
Pre K 2:45 to 6:00pm
Kinder Special 11:45-3 pm
Kinder Special 11:45-6 pm
Choose number of days in a week *
--Select Days--
3 days
4 days
5 days
Choose your payment terms *
One time Registration/Material Fees (non-refundable): $125
--Select Payment Terms--
Monthly
Submit