Registration

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Wednesday, May 22, 2013

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	Instructions

We would love for your child to join us at Denver Baptist Preschool. Start by completing the form fields on the right. Each field is required. When completed click the submit button at the bottom to send your results. You will be redirected to the church PayPal page allowing you to use your credit card to pay the registration fee of $75.

Online registration for the 2013-2014 school year is now OPEN.

Please use the form below to sign up.

Thank you.

	Registration Form

Please enter your Child's Name

Child's Name:

Please enter your child's date of birth

Date of Birth:

Please enter all parent names

Parent Names:

Please enter your street address

Street Address:

Please enter your city

City:

Please enter your postalcode

Postal Code:

Please enter your email address

Email Address:

Please enter your home telephone number

Home Telephone:

Please enter all cell phone numbers

Cellular Phone Numbers (all):

Please enter all work phone numbers

Work phone numbers (all):

Please enter Name and number of those allowed to pick-up your child

Name and number of those
allowed to pick-up your child:

Please list all allergies or medical needs

List all allergies or medical needs:

Please enter a value for New Field

If registering a 2yr old - Pick dates:

Monday & Wednesday
Tuesday & Thursday

Please enter a value for New Field

If registering an Infant, Crawler, or Toddler - Pick Days:

Mon, Tues, Wed only
Mon, Tues, Thurs only
Mon, Tues, Wed, Thurs

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