Online Application

Online registration may be completed by filling in the fields below and clicking submit. Online registration requires the registration fee to be mailed separately.

You may also choose to print this form and mail the completed form along with the registration fee.

Child's full name: *

Name of parents or guardian: *

Address: *

Address 2:

City: *

State: *

Zip: *

Date of birth: *

Must be 3 by the first day of school

Please check one: *

Natural child

Adopted child

Parents: *

Married

Separated

Divorced

Employment

Father's place of employment:

Father's work phone:

Father's cell phone:

Mother's place of employment:

If outside of the home

Home phone:

Mother's cell phone:

Family physician's name: *

Family physician's phone: *

Please list any health problems & medications your child is currently taking: *

Emergency contacts

Contact 1 name: *

Contact 1 phone number : *

Contact 2 name: *

Contact 2 phone number: *

Type your name in the box above.

Daily Schedule

9:00 – 9:35
Free Play

10:10-10:30
Bathroom | Snack | Social

10:35-11:00
Large Motor Movement

11:00-11:20
Group Learning Center Activity

11:20-11:35
Free Play & Clean Up

11:35-11:55
Bible | Worship & Book | Story Time

12:00
Children Depart

Our Philosophy

The educational philosophy of our program is based on the belief that all children are born with a God-given, immeasurable value and potential to grow and learn. We believe that the nurturing of the most important connections in a child’s life; home, school, and church is of vital importance. Our program is dedicated to meeting each child’s social, emotional, and physical growth through a balance of teacher, peer, and self-directed activity. We strive to provide a warm childhood educational environment where adults and children share in the learning process.