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RBCPC Preschool Application for 2019-2020 School Year
RBCPC Preschool Enrollment Application for 2019-2020
Thank you for your interest in our program. Within this application each age group will have a list of the classes that may have availability at this time. Please use the notes section to communicate any other information to us.
Child's First Name
*
Child's Last Name
*
Child's Gender
*
Male
Female
Your Child's Birth Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Your Child's Birth Day
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Your Child's Birth Year
*
2014
2015
2016
2017
Parent#1/Guardian's/Domestic Partner's First Name
*
Parent #1/Guardian's/Domestic Partner's Last Name
*
Parent #2/Guardian's/Domestic Partner's First Name
Parent #2/Guardian's/Domestic Partner's Last Name
Home Street Address
*
City
*
State
*
Zip Code
*
Primary Email Address
*
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Primary Email Address Confirmation
*
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Best Contact Phone Number
*
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PLEASE answer the following question carefully in order to be offered the correct class options for your child.
*
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My child will be 4 on or before September 1, 2019 (Enrollling in the 4/5 Year Old Program)
My child will be 3 on or before September 1, 2019 (Enrolling in the 3 Year Old Program)
My child will be 2 on or before September 1, 2019 (Enrolling in the 2 Year Old Program)