Application for Admission Form

Application for Admission

Please complete the form below to apply for admission to Wonder Nook Preschool.
Child's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Gender*

FemaleMale
Program*

Toddler Program (2-3 Years)Preschool (3-4 Years)Transitional Kindergarten (4-5 Years)
Start Date:*

MonthDayYear
Full time or Part time?*

Full TimePart Time
Regular hours of usage will be:
From*

:HourMinutesAM/PM Option
until
until :HourMinutesAM/PM Option
Days of the Week*

MondayTuesdayWednesdayThursdayFriday
Special Needs or Instructions
Mother's Information
Mother's Name

First NameLast Name
Cell Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
E-mail
Address

Street Address

Street Address Line 2

CityState

Zip Code
Employer
Work Phone

Area CodePhone Number
Father's Information
Father's Name

First NameLast Name
Cell Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
Email Address
Address

Street Address

Street Address Line 2

CityState

Zip Code
Employer
Work Phone

Area CodePhone Number
How did you hear about us?
A $50 non-refundable application fee must be received within 5 days of submitting this application. I understand that I will have two weeks following acceptance to complete and submit the contract along with the two-week non- refundable deposit applied to th e cost of my child’s last two weeks of enrollment.
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Application for Admission