GILWOOD PRESBYTERIAN CHURCH PRESCHOOL REGISTRATION 26/27

*YOU MUST SUBMIT ONE FORM FOR EACH CHILD*

*Has Your Child Ever Attended Gilwood Presbytarian Preschool?

Yes

No

*Which Class Are You Enrolling For?

The Twos - 2 Day (Tuesday & Thursday)

The Threes - 2 Day (Tuesday & Thursday)

The Threes - 3 Day (Monday, Wednesday & Friday

The Fours - 2 Day (Tuesday & Thursday)

The Fours - 3 Day (Monday, Wednesday & Friday)

The Fours - 5 Day (Monday - Friday)

CHILD'S INORMATION:

*Child's First name

*Child's Last name

Name by Which Child is Called

*Child's Birthday

Month

Day

Year

*Who Does the Child Live With?

Mother & Father Full-Time

Mother & Father Shared

Mother Full-Time

Father Full-Time

Other

PARENT INFORMATION:

*Parent/Guardian 1 First/Last Name

*Parent/Guardian 1 Phone

Phone

Email

Parent/Guardian 2 First/Last Name

Parent/Guardian 2 Phone

Email

Parents' Address

*Country/Region

*Address

*Address - line 2

*City

*Zip / Postal code

Gilwood Church, 2993 Odell School Road Concord, NC 28027 | office@gilwoodchurch.org | Tel: 704-782-0134

Office Hours: Mon - Fri: 9am-3pm

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