Name:
Email:
Phone:

Mailing Address:
Address 1:
Address 2:
City:
State:
Zip:

Name of Child:
Gender: M F
Birthdate (MM/DD/YYYY): / / .

Other children who will be attending preschool in the future (names, ages):

Comments or questions concerning school?

Preferred Class Time:
Four-Year-Olds (Tuesday, Wednesday, Thursday):
First Choice:
9:00AM 11:30AM 2:00PM
Second Choice:
9:00AM 11:30AM 2:00PM

Three-Year-Olds (Monday and Friday):
9:00 - 12:00PM 1:00 - 3:00PM

Thank you for your interest in the Little Redd Schoolhouse - we will be contacting you shortly.