Preschool of the Arts

Child Name *

First Name

Last Name

Child Date of Birth *

MM

DD

YYYY

Parent/Grown-up Name *

First Name

Last Name

Parent/Grown-up Phone *

(###)

###

####

Second Parent/Guardian Name

First Name

Last Name

Second Parent/Guardian Phone

(###)

###

####

I am most interested in the following: *

Preschool Only 2 day M&F

Preschool with 3:30 OR 5:30 Day 2 day M&F

Preschool Only 3 day TWTh

Preschool with 3:30 OR 5:30 3 day TWTh

Preschool Only 5 day M-F

Preschool with 3:30 OR 5:30 5 day M-F