Application for Admission Form

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 *

: Hour Minutes AM/PM Option
until
until : Hour Minutes 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

Address

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.
Enter the message as it's shown *
Should be Empty:

Application for Admission