Preschool Registration Form

Are you looking to find a preschool in your local area? This preschool registration form will help you find the best preschool, and get your kids ready to learn in a fun and safe environment.

Questions for Preschool Registration Form

1.

Expected Start Date?

The answer should be a date input.
2.

Expected Departure Date?

The answer should be a date input.
3.

Which class are you wanting to register for?

The answer should be a text input.
4.

Name

The answer should be a text input.
5.

Gender

The answer should be a single choice:
  1. Male
  2. Female
  3. Others
6.

Birth Date

The answer should be a date input.
7.

Home Phone

The answer should be a phone number.
8.

Address

The answer should be a text input.
9.

Street

The answer should be a text input.
10.

City

The answer should be a text input.
11.

State

The answer should be a text input.
12.

Country

The answer should be a country.
13.

Postal / Zipcode

The answer should be a number input.
14.

Doctor's Name?

The answer should be a text input.
15.

Doctor's Phone Number?

The answer should be a phone number.
16.

Parent/Guardian Name?

The answer should be a text input.
17.

Parent Home Number?

The answer should be a phone number.
18.

Parent Cell Number?

The answer should be a phone number.
19.

Work Place

The answer should be a text input.
20.

E-mail

The answer should be a email input.
21.

Address - Same As Child

The answer should be a single choice:
  1. Yes
  2. No
22.

Your Comments

The answer should be a text input.
23.

Signature

The answer should be a signature.
24.

Signed Date

The answer should be a date input.

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Preschool Registration Form

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