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Waiting List Registration

Please Note:

  • This application is valid only for one academic year.
  • This application is for waiting list only and does not guarantee an automatic entry in to the preschool. The actual registration for enrollment will take place during the month of March/April.

Please Fill Out the Form Below

Child's Name (First Middle Last):*

Child's Birth Date (MM/DD/YYYY):*

Name of Parent/Guardian:*

Day Time Phone Number (XXX-XXX-XXXX):*

Alternative Phone Number (XXX-XXX-XXXX):*

Email Address (A confirmatoin messeage will be sent to this address):*

Does the child have a sibling attending Pilavjian/Cabayan/Ferrahian?
Yes
No

Name of sibling:

Grade/Group:

Are you a Western Prelacy School or Organization employee?
Yes
No

Name of School or Organization:

Name of School or Organization:

Name (First Last):

Additional Comments: