Fall + Spring Registration

Please fill out the following form to submit an application for the Chalkboard Preschool. The fields marked with a “*” are required, while the other fields are optional. This is a secure form.




Parents(s) or Other Person(s) Placing the Child

2nd Parent or person Placing the Child

Other Person to Notify if Person Placing the Child Cannot Be Reached

Physician to Call if Child Becomes Ill or Injured

Child Information

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