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Northwest Family Church

connecting people to Jesus and each other

 
Preschool Registration
Child's Name (*)
Please enter Child's Name
Phone
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Birth Date (*)
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Home Address
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City
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Zip Code
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Father's Name
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Father's Home Phone
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Father's Work Phone
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Mother's Name
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Mother's Home Phone
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Mother's Work Phone
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E-mail Address (*)
Please input a valid email.
Call this number first in the event of emergency
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Mom's Cell #
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Dad's Cell #
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If both parents are not legal guardians, please list legal guardians.
Legal Guardian
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Home Phone
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Work Phone
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Address
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City
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Zip Code
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Father's Employer
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Mother's Employer
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Where did you learn about Learn and Play Preschool?
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Has your child attended preschool in the past? (*)
Please indicate whether or not your child has attended preschool in the past.
If so, where?
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Please list sibling names and ages
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Please list ANY allergies that your child has. If you are not aware of any, please write No Known Allergies
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Program Selection - Please check the box for the days you would like your child to attend class.
3 Year Olds
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4 Year Olds
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Choose your own days
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To better anticipate your child's needs, please provide a short biography explaining anything you feel might be helpful for the teachers in working with your child.
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© 2010 Northwest Family Church
3535 Auburn Way S.
Auburn, WA 98092
P (253) 833-8252 F (253) 351-2943