Application for Admission
Please complete the form below to apply for admission to Wonder Nook Preschool.
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Gender
*
Female
Male
Program
*
Toddler Program (2-3 Years)
Preschool (3-4 Years)
Transitional Kindergarten (4-5 Years)
Start Date:
*
-
Month
-
Day
Year
Date Picker Icon
Full time or Part time?
*
Full Time
Part Time
Regular hours of usage will be:
From
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
until
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Days of the Week
*
Monday
Tuesday
Wednesday
Thursday
Friday
Special Needs or Instructions
Mother's Information
Mother's Name
First Name
Last Name
Cell Phone
-
Area Code
Phone Number
Home Phone
-
Area Code
Phone Number
E-mail
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Employer
Work Phone
-
Area Code
Phone Number
Father's Information
Father's Name
First Name
Last Name
Cell Phone
-
Area Code
Phone Number
Home Phone
-
Area Code
Phone Number
Email Address
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Employer
Work Phone
-
Area Code
Phone 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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*
Submit Application
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