LIC# 334830314 | 951-925-9798
Preschool Enrollment Pre-registration
Days/Times
Child’s Name Birth Date (Please circle days and times)
| Full day, AM only, PM only,
M, T, W, Th, F |
Parent’s Name Address Phone number
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Home:
Cell: Work: |
Special Needs Previous preschool Church Affiliation
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Desired starting date:_____________
How did you hear about us?_________________________________
FAX OR MAIL COMPLETED PRE-APPLICATION TO
Barbara Zweifel, Prince of Peace Preschool Director
701 N. Sanderson Ave.
Hemet, CA 92545
Fax: (951) 766-6779