2019-2020 Los Altos Grace Pre-School Registration

Name

This address will receive a confirmation email

Phone

Address

Student's Name

Student's Birth Date

Student's Gender

Preferred Days and Times

Please Select Your Preferred Days and Times Below...
Choose One.

Morning Preschool (8:45 am-12:15 pm)

Preschool With Partial Afternoon Care (8:45 am-3:00 pm)

Full Day Preschool (7:00 am-6:00 pm)

Family Information

If a field does not apply, please mark N/A.

Father's Name

Home Address (if different)

Occupation

Place of Employment

Business Address

Business Phone

Home Phone

Cell Phone

Father's Church Affiliation

Hobbies and Interests

Mother's Name

Home Address (if different)

Occupation

Place of Employment

Business Address

Business Phone

Home Phone

Cell Phone

Mother's Church Affiliation

Hobbies & Interests

Child Information

Other People Living in Household

Language Spoken In Home

Does Your Child Have Any Speech Troubles?

Yes No

Does Your Child Need Help Dressing?

Yes No

Undressing?

Yes No

Washing Hands?

Yes No

Toilet?

Yes No

Eating?

Yes No

Has Your Child Had Group Play Experience?

Yes No

Please Tell Us About Any Particular Difficulty the Teacher Should Watch For

Church Information

If a field does not apply, please mark N/A.

What is Your Current Church?

What Would You Like Your Child to be Taught About God?

School Policy Information

How Did You Hear About Los Altos Grace Preschool?

Please Tell Us Your Primary Reason for Sending Your Child to Los Altos?

Student Registration $150

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Most classes are currently full. Please contact us for availability.

If you complete and submit this online registration and your child's class is full, we will contact you as soon as there is an opening. Thank you!

2019-2020 Los Altos Grace Pre-School Registration

Description

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