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Preschool and PreK Registration


Please fill out the form below if you are interested in:
   ~ Preschool or PreK - Enrolling your child for school year 2012/2013
               
           2011/2012 School Year (August 2012 through May 2013)
                   We are currently enrolling for Preschool and PreK for next year
                    

 THANK YOU FOR YOUR INTEREST IN OUR PROGRAMS!


Parent's First and Last Name
Child's Full Name
Gender
Child's Birthdate
School Year (ex: 2012/2013)
3's Program?
4's Program?
PreK Program?
AM (1st,2nd,or3rd choice?)
MID (1st,2nd,3rd choice?)
PM (1st,2nd,or3rd choice?)
Home Address
City
Zip Code
Home Phone () -
Cell Phone() -
E-mail Address
Medical Conditions or Allergies?
Questions or Comments
How did you hear about us?
Preschool Registration Fee $159 (Non-Refundable)
$159.00

This site last updated MAY 2012
 WILKINS LEARNING CENTER
Climb the Mountain of Knowledge, The Wilkins Way®

Copyright 2007
 

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