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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 are available at the time this application opened at 7am on February 7, 2019 Please make your selections with this in mind. 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
*
Primary Email Address Confirmation
*
Best Contact Phone Number
*
PLEASE answer the following question carefully in order to be offered the correct class options for your child.
*
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)