Child's First Name

Child's Last Name

Child's Birthday

What days do you plan to attend?
Tuesday and Thursday
Just Tuesdays
Just Thursdays

What year do you expect your child to enter pre-k?
2022
2023
2024
2025
2026

Does your child have and allergies or conditions we need to be aware of? (This includes food allergies, developmental delays, etc) If yes, please explain.

Is your child potty trained?
YES 100%
Currently Training or Plan to be trained by August
Pull- Ups
NO

Parent's First Name

Parent's Last Name

Email

How will you be submitting your enrollment fee?
Online
Cash or Check to PDO Office
Mail or drop off Payment to Church Office