Preschool Registration Form 2017-18
Christ The Life Preschool
Office Reg. #
Preschool Registration Form 2017-2018
3031 Summit Avenue Waukesha, WI 53188-2660 262-547-7315
Date: Time:
[email protected]
Please indicate your class preference by putting a ‘1' by your first choice and ‘2' by your second choice _____ 2 Days (T/R - 8:30-11:30 a.m.)
_____ 3 Days (M/W/F - 8:30-11:30 a.m.)
_____ 2 Days* (T/R – 12:15-3:15 p.m.) *Offered, based on interest
_____ 3 Days* (M/W/F – 12:15-3:15 p.m.) *Offered, based on interest
_____ 5 Days (M-F- 8:30-11:30 a.m.)
**Teacher Preference: __________________ **We will do our best to place your child with the teacher you prefer
To assist in classroom placement, please tell us about your child:
My child will be using the childcare:
occasionally
full-time
never
Registration Fee = $50 If you were referred to us by another student/family presently enrolled at Christ The Life, please share their name with us: ________________________________________
Child’s Information: Child’s Name: ____________________________________________ last
first
Male
Female
middle
Name to be used at school: ________________________
Student’s Birthdate: ______/___/_____
Child lives with: (circle one) both parents
mother
father
mother & father alternately
Who is responsible for the school bills?
Both Parents
Mother’s Information:
other guardian: ________________
Father Only
Mother Only
Father’s Information: (Write ‘same’ where applicable if your family lives together at the address listed under Mother’s information.)
Mother’s Name: ___________________________
Father’s Name: ________________________
Address: ________________________________
Address: ______________________________
_______________________________________
_____________________________________
Home Phone: ____________________________
Home Phone: _________________________
Work Phone: _____________________________
Work Phone: __________________________
Cell Phone: ______________________________
Cell Phone: ___________________________
Best time to call you: ______________________
Best time to call you: ____________________
E-Mail Address: ___________________________
E-Mail Address: _______________________
2-sided form - please complete other side.
Parent or Guardian signature is required at the bottom of this page for enrollment. Check all that apply: We are members of Christ The Life Lutheran Church. We are members of this church: __________________________ - denomination: ______________ We do not belong to a church. We are interested in more information about Christ The Life Lutheran Church. Please have the pastor contact us. Are you an active member in your current church? (circle one): Yes No How Did You Hear About Christ the Life Preschool & Childcare? Noticed the building/sign Email/Newsletter Facebook Family/Friend
Newspaper Story TV News Website/Search Engine Advertisement Other _________________________ Thank you!!
The purpose of Christ The Life Ev. Lutheran Congregation: To assist and support the community of believers and carry out the Great Commission (Matt. 28:18-20) and live the Christian life. The mission statement of Christ The Life Lutheran Church: We are a family of Christians dedicated to GROWING in faith through the knowledge of Christ, SHOWING His unconditional love to others, by SHARING His saving Gospel, and CARING for each other, the community and His world. Religion instruction is based on the religious teachings of the Missouri Synod Lutheran Church. Christ The Life Ev. Lutheran School admit students of any race, color, national or ethnic origin, and grants all the rights, privileges, programs, and activities generally accorded or made available to students of the school. It does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational policies, admission policies, and athletic or other school-administered programs.
I understand, that with this registration form, I am registering my child at Christ the Life Preschool for the 20172018 school year. A $50.00 registration fee is included with this application. The registration fee is nonrefundable. Please make checks payable to Christ the Life. Parent or Guardian Signature: __________________________________________ Date: ____/____/_____
For Office Use Only Registration Fee Received: Amount $ __________ Check # ______ Date ____/____/_____
Office Reg. #
Preschool Registration Form 2017-2018
3031 Summit Avenue Waukesha, WI 53188-2660 262-547-7315
Date: Time:
[email protected]
Please indicate your class preference by putting a ‘1' by your first choice and ‘2' by your second choice _____ 2 Days (T/R - 8:30-11:30 a.m.)
_____ 3 Days (M/W/F - 8:30-11:30 a.m.)
_____ 2 Days* (T/R – 12:15-3:15 p.m.) *Offered, based on interest
_____ 3 Days* (M/W/F – 12:15-3:15 p.m.) *Offered, based on interest
_____ 5 Days (M-F- 8:30-11:30 a.m.)
**Teacher Preference: __________________ **We will do our best to place your child with the teacher you prefer
To assist in classroom placement, please tell us about your child:
My child will be using the childcare:
occasionally
full-time
never
Registration Fee = $50 If you were referred to us by another student/family presently enrolled at Christ The Life, please share their name with us: ________________________________________
Child’s Information: Child’s Name: ____________________________________________ last
first
Male
Female
middle
Name to be used at school: ________________________
Student’s Birthdate: ______/___/_____
Child lives with: (circle one) both parents
mother
father
mother & father alternately
Who is responsible for the school bills?
Both Parents
Mother’s Information:
other guardian: ________________
Father Only
Mother Only
Father’s Information: (Write ‘same’ where applicable if your family lives together at the address listed under Mother’s information.)
Mother’s Name: ___________________________
Father’s Name: ________________________
Address: ________________________________
Address: ______________________________
_______________________________________
_____________________________________
Home Phone: ____________________________
Home Phone: _________________________
Work Phone: _____________________________
Work Phone: __________________________
Cell Phone: ______________________________
Cell Phone: ___________________________
Best time to call you: ______________________
Best time to call you: ____________________
E-Mail Address: ___________________________
E-Mail Address: _______________________
2-sided form - please complete other side.
Parent or Guardian signature is required at the bottom of this page for enrollment. Check all that apply: We are members of Christ The Life Lutheran Church. We are members of this church: __________________________ - denomination: ______________ We do not belong to a church. We are interested in more information about Christ The Life Lutheran Church. Please have the pastor contact us. Are you an active member in your current church? (circle one): Yes No How Did You Hear About Christ the Life Preschool & Childcare? Noticed the building/sign Email/Newsletter Facebook Family/Friend
Newspaper Story TV News Website/Search Engine Advertisement Other _________________________ Thank you!!
The purpose of Christ The Life Ev. Lutheran Congregation: To assist and support the community of believers and carry out the Great Commission (Matt. 28:18-20) and live the Christian life. The mission statement of Christ The Life Lutheran Church: We are a family of Christians dedicated to GROWING in faith through the knowledge of Christ, SHOWING His unconditional love to others, by SHARING His saving Gospel, and CARING for each other, the community and His world. Religion instruction is based on the religious teachings of the Missouri Synod Lutheran Church. Christ The Life Ev. Lutheran School admit students of any race, color, national or ethnic origin, and grants all the rights, privileges, programs, and activities generally accorded or made available to students of the school. It does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational policies, admission policies, and athletic or other school-administered programs.
I understand, that with this registration form, I am registering my child at Christ the Life Preschool for the 20172018 school year. A $50.00 registration fee is included with this application. The registration fee is nonrefundable. Please make checks payable to Christ the Life. Parent or Guardian Signature: __________________________________________ Date: ____/____/_____
For Office Use Only Registration Fee Received: Amount $ __________ Check # ______ Date ____/____/_____
