Bales Wesleyan Preschool Pre-registration

Child's Name

Interested In

Fall 2024-Spring 2025

If you are interested in our summer program-what weeks are you interested in? Please list them all

Child's Birth Date

Age

Allergies

Mother's Name

Mother's Cell Phone

Mother's Email

This address will receive a confirmation email

Father's Name

Father's Cell Phone

Father's Email

Address

Home Phone

Emergency Contact 1

Phone 1

Emergency Contact 2

Phone 2

Emergency Contact 3

Description

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