Preschool Application for Enrollment — St. John Lutheran Church

Preschool and Prekindergarten Application for Enrollment

2024-2025

Place: St John Lutheran Church

Ages 3 and 4 by September 1

Contact: Gretchen Scheel or Valerie Guglielmi

Enrollment Fee $100.00

Father's Name

First Name

Last Name

Church Membership Father

Father resides with Child

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Name

First Name

Last Name

Church Membership Mother

Mother resides with Child

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone Father

(###)

###

####

Cell Phone Mother

Type of Phone

(###)

###

####

Class Options

Child's Legal Name

First Name

Last Name

Child's Preferred Name

Birth Date

YYYY

Special Things we should know like Allergies, etc...

Gender of Child