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CONGREGATIONAL PRESCHOOL
2801 Lomas Blvd. NE.
Albuquerque, New Mexico  87106
Phone:  265-5749
2009-2010 Registration Form

Child’s Name  
First   Middle (Complete)    Last 
F    |     M   
Birth Date(Mo./Day/Year)         Age       Place of Birth

Home Address   Zip Phone No.
Parent Name
Address Zip Phone No.
Occupation   Work No.
Parent Name
Address Zip Phone No.
Occupation   Work No.
Brother(s) Name(s) & Age(s)
Sister(s) Name(s) & Age(s)
Others living in household with child
Pet(s) Name(s)
List all schools & addresses child has previously attended
Food Allergies
Health Problems
List any concerns

Indicate program preference:
Monday/Tuesday (2-1/2-yr-olds)                 
Wednesday/Thursday (2-1/2-yr-olds )
Monday/Tuesday/Wednesday (3-yr-olds)             
Thursday/Friday (3-yr-olds)
Monday-Friday (3-yr-olds)                         
Monday-Friday (4-5-yr-olds)

Starting Date

Registration Fees Are Nonrefundable

                   

----------------Admin Use Only----------------
Received by __________________________________________________

Amount of registration paid:              $____________                  
Full registration packet will be mailed

Upcoming Events

School Calendar


3 Yr Old Parent Teacher Conferences.
February 9

4/5 Yr Old Parent Teacher Conferences.
February 9

President's Day.
Monday, February 20

2 1/2 Yr Old Parent Teacher Conferences.
February 9

Registration for Current Families for 2011-2011 School Year Begins.
February 21

Registration for New Families for 2011-2011 School Year Begins.
March 1