St. Peter’s Preschool

2475 St. Peter's Rd.

Malvern, PA  19355

610-644-2261

Preschool Registration

September 2010 - May 2011 

Child’s Name __________________________________ Birthdate __________________

 

Parents’ Names __________________________________________________________

 

Address ________________________________________________________________

 

Phone Home: ________________Dad’s Work ______________ Dad’s Cell __________

 

Mom’s Work ________________ Mom’s Cell ______________ Other ______________

 

E-mail address Mom ________________________ Dad __________________________

 

I would like to register my child for:

 

______ 2-day class

 

______ 3-day class
     ____ Mornings (9:00-11:45 a.m.) ____ Afternoons (12:15-3:00 p.m.)
Please check one or both. An afternoon session will only be made available if the morning session is full AND at least 4 children sign up for afternoons.

 

______ Pre-K class - Monday through Thursday with optional Friday

Please return your $100 nonrefundable registration fee per FAMILY with this form. This fee will be applied to your child's or children's 2010-2011 tuition.

Make checks payable to St. Peter’s Preschool.

To pay by credit card (Visa, Mastercard, and American Express accepted), please complete the following section of this form and return it to the Preschool office:

Card no. ______________________________________________________________

Expiration date (MM/YY) _______ / ______

Name on card __________________________________________________________