Tuckston Learning Center Registration

Thank you for your interest in the Tuckston Learning Center 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. 

Name of Child *
Name of Child
Date of Birth *
Date of Birth
Mother's Name *
Mother's Name
Father's Name
Father's Name
Phone *
Phone
Address *
Address
Program of Interest
Please select one of the following classes
Please list 2 Emergency Contacts/ Authorized Pickups. Include Name, Relationship, and Phone Number