The Day School at First Baptist Church

Application for Enrollment

Child's name

Date of birth

Month

Day

Year

Place of birth

Primary language

Address (street/town/zip code)

Parent Information

Parent #1

Parent #2

Parent #1 address

Parent #2 address

Parent #1 phone no.

Parent #2 phone no.

Parent #1 email

Parent #2 email

Which is the preferred phone no.

Parent #1 phone no.

Parent #2 phone no.

Which is the preferred email

Parent #1 email

Parent #2 email

Others in the family - include relationship and age

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Preschool Program

This program is for children ages 2 years 9 months to 3 years

Options for the Preschool Program:

Three Day Option (9:00 a.m. – 12:00 p.m.)

Monday, Wednesday, and Friday

Two Day Option (9:00 a.m. – 12:00 p.m.)

Tuesday and Thursday

Preferred Preschool Program option:

Three Day Opt. - Monday, Wednesday, and Friday

Two Day Opt. - Tuesday and Thursday

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Pre-Kindergarten Program

This program is for children 4 years old

Options for the Pre-Kindergarten Program:

Three Day Option (9:00 a.m. – 12:00 p.m.)

Monday, Wednesday, and Friday

Four Day Option 1 (9:00 a.m. – 12:00 p.m.)

Monday, Tuesday, Wednesday, and Friday

Four Day Option 2 (9:00 a.m. – 12:00 p.m.)

Monday, Wednesday, Thursday, and Friday

Preferred Pre-Kindergarten Program option:

Three Day Opt. - Monday, Wednesday, Friday

Four Day Opt. 1 - Monday, Tuesday, Wednesday, Friday

Four Day Opt. 2 - Monday, Wednesday, Thursday, Friday

_______________________________

Transition Program

This program is for children 4 to 5 years old

Options for the Transition Program:

Four Day Option (9:00 a.m. – 1:00 p.m.)

Monday, Tuesday, Wednesday, and Thursday

Five Day Option (9:00 a.m. – 1:00 p.m.)

Monday through Friday

Preferred Transition Program option:

Four Day Opt. - Monday, Tuesday, Wednesday, Thursday

Five Day Opt. - Monday through Friday

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Non-refundable registration fee is $100

Please refer to "Payments" page

Signature

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