Sandbox | St Stephen UMC Preschool

Contact Information

Child's Full Name *
Child is Called
Child's Sex *
BoyGirl
Child's Address *Full Address (street, city, state, zip)
Home Phone *
Child's Birthdate *
Email *
Alternate Email

Enrollment Information

Any allergies? *
YesNo
If your child has an allergy, please share more details:
Was your child enrolled in a preschool program last year? *
YesNo
Are you a member of St. Stephen United Methodist Church?
YesNoI am interested
Class Selection: First Choice **Subject to Availability
Class Selection: Second Choice *Subject to Availability

Parent Information

Parent 1 Name *
Parent 2 Name *
Parent 1 Occupation
Parent 2 Occupation
Parent 1 Work Phone
Parent 2 Work Phone
Parent 1 Cell Phone
Parent 2 Cell Phone

Verification

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