Little Angels Christian Preschool Registration 2019-2020

Child's Class Days/Time registering for:	*  None3's = 9am - 11:30am M/W3's = 9am - 1pm M/W3's = 9am - 11:30am M/W/F3's = 9am - 1pm M/W/F3's = 9am - 11:30am T/Th3's = 9am - 1pm T/Th4's = 9am - 2pm T/Th4's = 9am - 1pm M/W/FHigh 5's = 9am - 2pm M-ThHigh 5's = 9am - 2pm M-F
Child's Name:
Child's Birth Date:
Current Age:
Child's Gender:
Child's Address:
Child's Address City, State, Zip:
Child's Home Phone:
Mother's Name:
Mother's Address (if different):
Mother's City, State, Zip (if different):
Mother's Cell/Work Phone:
Father's Name:
Father's Address (if different):
Father's City, State, Zip (if different):
Father's Cell/Work Phone:
Primary Email Address:
How did you hear about Little Angels?
Are you a current member of Guardian Angels Church?	No Yes
Any other comments:
2nd Child's Class Days/Time registering for:	None 3's = 9am - 11:30am M/W  (Add $25.00)3's = 9am - 1pm M/W   (Add $25.00)3's = 9am - 11:30am M/W/F  (Add $25.00)3's = 9am - 1pm M/W/F  (Add $25.00)3's = 9am - 11:30am T/Th  (Add $25.00)3's = 9am - 1pm T/Th  (Add $25.00)4's = 9am - 2pm T/Th  (Add $25.00)4's = 9am - 1pm M/W/F  (Add $25.00)High 5's = 9am - 2pm M-Th  (Add $25.00)High 5's = 9am - 2pm M-F  (Add $25.00)
2nd Child's Name:
2nd Child's Birth Date:
2nd Child's Current Age:
2nd Child's Gender:
Your Email Address	*
Please type in the box to the right »	*
Base Price	$
Modifications	$
Total	$