Tuckston Preschool Registration

Thank you for your interest in the Tuckston Preschool. To register your child, please complete the following form and submit for each child. After submitting your form, someone from our staff will contact you soon.

Registration Fee: $125 (non-refundable)

Name of Child

First Name

Last Name

Sex

Date of Birth

YYYY

Mother's Name

First Name

Last Name

Father's Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Program of Interest

Please select one of the following classes:

Emergency Contacts

Please list 2 emergency contacts/authorized pick-ups. Include name, relationship, and phone number.

Questions or Comments