Central Presbyterian Church Preschool
Registration Form

Print out and complete this form to register your child. Please use one form for each child you are registering. A non-refundable $50.00 registration fee must accompany each child's registration form. Send the completed form to:

Central Presbyterian Church Preschool
7308 York Road
Baltimore, MD 21204

Date:                ____________________

Child's Name:        __________________________________________________

Date of Birth:       ____________________



Parent Names:        __________________________________________________

Address:             __________________________________________________

                     __________________________________________________

City/State/Zip Code: __________________________________________________

Email Address:       __________________________________________________

Home Phone:          ________________________
 
Work Phone:          ________________________


Register my child in:
    2's - Class 1 - Friday
    2's - Class 2 - Monday and Wednesday
    2's - Class 3 - Tuesday and Thursday
    3's - Class 1 - Tuesday and Thursday
    3's - Class 2 - Monday/Wednesday/Friday
    3's - Class 3 - Monday/Wednesday/Friday
    Pre-K - Class 1 - Monday/Wednesday/Friday
    Pre-K - Class 2 - Mon/Tue/Wed/Thu


Any Additional Notes: _________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________