Pinnacle Presbyterian Church: Pinnacle Preschool Online Registration

http://www.pinnaclepres.com/PinnaclePreschool/onlineregistration.html

Pinnacle Presbyterian Preschool Online Registration Application

2009-2010 School Year

Priority: (Please select one of the following, if applicable)
Returning Student	\| Sibling of Current or Former Student	\| Church Member


Child's Last Name: *	First Name: *
Address: *	City: *	Zip: *
Child's Birth Date: *	Age as of Sept. 1, 2009: *	Gender: *
School District currently residing in: *	Previous School Attended:	Year Attended:


Mother's Last Name:	First Name:
Mother's Telephone:	Mother's Cell Phone:
Mother's E-mail Address:
Mother's Work Phone:	Mother's Work E-mail:
Mother's Employer:	Mother's Occupation:


Father's Last Name:	First Name:
Father's Telephone:	Father's Cell Phone:
Father's E-mail Address:
Father's Work Phone:	Father's Work E-mail:
Father's Employer:	Father's Occupation:

Other Children in the Family
Child's Name:	Age:	Gender:	School Attending:
Child's Name:	Age:	Gender:	School Attending:
Child's Name:	Age:	Gender:	School Attending:
Child's Name:	Age:	Gender:	School Attending:

Please number the options below in order of your first and second choices. Due to the number of registrants, we are not always able to provide you with your most preferred schedule. We will attempt to accommodate as many first requests as possible.

Session applying for: *
(Select your first, second or third choices)

Mini 3-year-olds
(Turns 3 between 9/1-12/31)
Class time: 9:15-11:45 a.m.

Monday/Wednesday
1st Choice
2nd Choice

Tuesday/Thursday
1st Choice
2nd Choice

3-year-olds
(Turns 3 prior to 9/1)
Class time: 9 a.m.-Noon

2 days
1st Choice
2nd Choice

3 days
1st Choice
2nd Choice

4- and 5-year-olds
(Turns 4 prior to 9/1)
Class time: 9 a.m.-12:30 p.m.

A non-refundable registration fee of $250 is due upon confirmation of your child's placement. A Tuition Payment Agreement as well as a non-refundable one-months tuition payment is due on June 1, 2009, to reserve spot.

Your name: *

Your e-mail address: *

Comments:

* Required field

| The preschool office administrator will contact you regarding placement options.

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