Pre-Registration

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

Home:

Cell:

Work:

Special Needs                Previous preschool         Church Affiliation

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