Resurrection Catholic Church PreschoolPlease complete the form below to register your child for preschool at Resurrection Catholic Church. A non-refundable registration fee of $100 for new students or $75 for returning students is required at the time of registration. Child's InformationName* First Middle Last NicknameGender* Male Female Birthdate* Month Day Year Mother's InformationMother's Name* First Last Mother's Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Work/Cell Phone*Father's InformationFather's Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Work/Cell Phone*Contact InformationTo whom should correspondence be sent?*Email Address* Preschool RequirementsChildren must be 3 years old by September 1st to be admitted into the 3 year old class.Children must be 4 years old by September 1st to be admitted into the 4 year old class.All children must be toilet-trained by the start of school.Birthdays after September 1st will be considered on individual basis and a probationary period will apply.Please check one in each of the columnColumn A* Resurrection Parishioner (Registered) Catholic Family From Another Parish Neither of the Above Column B* Sibling of Child Currently Enrolled in School Sibling of Child Formerly Enrolled in School Student New to the Program Parish Name*Please enter the name of the parish where you are currently registered.Select a Class:* Three year old class - Tues/Thurs 9:30-12:00 ($235/month) Four year old class - Mon/Wed/Fri 9:30-1:00 ($335/month) Four year old class - Mon-Fri 9:30-1:00 ($535/month) Registration Fee*(due at time of registration & non-refundable) New Student ($100 per year) Returning Student ($75 per year) An additional Activity Fee of $50/year is due in SeptemberPayment InformationEnter your payment information below for the non-refundable registration fee which is required to complete your registration.Credit Card*Card Details Cardholder Name Total Due at Registration $0.00 PhoneThis field is for validation purposes and should be left unchanged. Δ
