Please Fill Out the Form to Register Your Child

Please enter YOUR information below

First Name *

Last Name *

Text Opt-In *

By checking this box I agree to receive email and SMS text communications and promotions from Ms. E Marie’s Preschool about 5 messages a month. SMS text and data rates may apply. I may opt out at any time by replying STOP. View Terms and Conditions at https://msemariespreschool.com/privacy

Parent D.O.B

Cell Phone *

Email *

Address *

City *

State *

Zip code *

2nd Parent Full Name AND D.O.B

2nd Parent Cell Phone

Child's Full Name *

Child's Date of Birth *

Child's Gender *

Male

Female

Child's Allergies *

Notes about child

Which Class Are You Interested In? *

To keep our preschool running smoothly, please agree to all of these policies:

I agree to pay the monthly tuition for the chosen class by the due date of each month.

I give permission for my child’s photograph(s) and/or videotaping(s) to be used for preschool marketing materials offline and online, newsletters, social media, and art projects.

I agree to abide by the Policies & Procedures Handbook which I will receive and is also available in the Online Parent Portal you will added to after completing enrollment.

I understand my enrollment will not be complete and my child may not attend preschool without submission of required immunization records and completed state forms turned in to the owner.

Parent Agreement *

I agree to all of the policies listed on this form.

Parent Signature *

Clear

Date Signed *