Preschool Online Registration 

We are thrilled to have your child(ren) in Preschool with us this year!  

Please complete the information below to register your child for the 2017-2018 school year.

If a question that is required does not apply to you please simply type "None".

  

A $50 non refundable registration fee is due to make the application/registration complete.

Please make checks out to Messiah Preschool.

 

Messiah Preschool NOW accepts Visa & MasterCard payments. If you would like to

pay your registration fee with a Visa or MasterCard, please contact our Director, Annie Bilski.

 

 

Enter Child's First, Middle and Last name *
First Name
Middle
Last Name
Child's nickname
Child's Date of Birth*
Is Your Child Baptized?*
Baptism Birthday
Home Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Primary Email*
Secondary Email Address
Mother's Name *
First Name
Middle
Last Name
Mother's Occupation*
Mother's Cellphone Number*
Work Phone Number
Father's Name *
First Name
Middle
Last Name
Father's Occupation
Father's Work Phone Number
Father's Cellphone Number*
Please describe your child(ren)'s current living situation (example: Carter lives at home with both parents, sister and brother. OR Carter lives with mom & step-dad during the week, dad on weekends) *
In the event of an emergency and the parent's are unable to be reached, please list TWO (2) people, WHO ARE NOT PARENTS, who should be contacted. Please be sure that these people have permission to transport your child. The following list will be considered permission from you to have these people pick up your child from preschool.
Name of Emergency Contact #1 *
First Name
Middle
Last Name
Address of Emergency Contact #1 *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Phone number(s) of emergency contact #1*
Name of Emergency Contact #2 *
First Name
Middle
Last Name
Address of Emergency Contact #2 *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Phone number(s) of emergency contact #2*
Will your child(ren) be attending daycare before or after school?*
Name, Address and Phone Number for your daycare provider. This information will provide them with the permission to pick up your child(ren) from preschool.
Child's Physician's Name, Location & Phone Number *
Dentist's Name, Location & Phone Number *
Names of other children in the household, Ages and relationship to student. Please separate with a comma
Church Membership & Location. If not a member please type "None" in the box*
Class Options:
Monday - Friday Half Day (9am - 11:30am) Full Day (9am - 3:30pm) Extended Days (7:30am - 9am) &/or (3:30pm - 5:30pm) Typical Classes Are: Monday/Wednesday/Friday Monday/Wednesday Tuesday/Thursday A minimum of 2 days per week is required for registration.
Enrollment into a classroom is based upon the child's date of birth. Upon review, the director has the authority to place a child into a classroom that the teaching staff and director feels is appropriate. A review of all applications will occur prior to the school year and should a discrepancy be noted parents will be contacted.
Each class session has a minimum enrollment of 8 and a maximum enrollment of 15 in our Preschool (3/4 year olds) classroom & 20 in our PreKinders (4/5 year olds) classroom
HALF DAY PROGRAM days of the week selection
FULL DAY PROGRAM days of the week selection
Will you be using our extended care program? *
What days and times will you need extended care? (example: Monday - Friday, Mornings; Wednesday & Friday, Afternoons)
Messiah Preschool has permission to TAKE photographs of my child. (including class pictures, individual photos, professional photos etc.)*
Messiah Preschool has permission to use my child's photos for promotional purposes, which would include but not limited to their website, brochures, marketing kits, etc. I understand and acknowledge that if my child's photograph is used no named or other identifying information will be used. *
Messiah Preschool has my permission to use my child's name, parent/guardian's first names, address, phone number and email address for a class directory that is distributed to classmates during the school year. *
Did a current Messiah Preschool family refer you to us? Please let us know who they are so that we can thank them!
First Name
Middle
Last Name
Please let us know if you have any comments, questions or concerns.
A registration fee of $50.00 is required to make this application/registration complete. This fee is not refundable nor does it apply to tuition. Payments can be made in the form of checks, money orders, Visa or Matercards. If you would like to pay with a Visa or Mastercard please allow 3 business days to process your registration. Make a note in the comment section and our Director will give you a call!