Greenville Oaks Church of Christ > Greenville Oaks Christian Preschool Registration Form

Greenville Oaks Christian Preschool Registration Form

Thank you for considering GOCP for your child's preschool education. GOCP has a two-day per week, Tuesday and Thursday, program for children ages 18 months - 5 years-old. Tuition is $180 per month from September through May. There is a yearly non-refundable registration fee of $100.00 to reserve a place for each child and to cover supplies.

Greenville Oaks Christian Preschool Registration Form 2

STUDENT INFORMATION

Last Name *

First Name *

Middle Name *

Gender *

Male

Female

Age (as of Sept. 1) *

Date of Birth *

Home Address *

Street

City

State

Zip Code

Primary Contact Phone Number *

Primary Contact Email *

Is student “potty trained” (required by the age of 3)? *

Yes

Church Preference

Congregation

Name & Ages of siblings at GOCP

Note*

We do not accept class placement requests. If you are concerned about the classroom placement for your child, please see the Director.

PARENT/GUARDIAN INFORMATION

FATHER'S INFORMATION

Name *

Address

Same as Child?

Address

City

Home Phone Number *

Work Phone Number

Cell Phone Number

E-mail Address *

Occupation

Employer

Business Address

PARENT/GUARDIAN INFORMATION

MOTHER'S INFORMATION

Name *

Address

Same as Child?

Address

City

Home Phone Number *

Work Phone Number

Cell Phone Number

E-mail Address *

Occupation

Employer

Business Address

If parents are divorced/separated, who has legal custody?

If legal guardian, list name and relationship to child.

I would be interested in subbing for GOCP.

Yes

EMERGENCY CONTACT INFORMATION

I authorize the Greenville Oaks Christian Preschool staff to contact the following persons if I cannot be reached in case of emergency, illness or accident. Please type your full name as signature.

Relative

Neighbor

Friend

Doctor *

Hospital *

I hereby consent to the following: (please initial after each statement)

1. To Greenville Oaks Christian Preschool's (GOCP) care of my child while on school premises.

Initial Here

2. To GOCP's release of my child to persons authorized by me.

Initial Here

3. To GOCP's feeding lunch and snacks to my child.

Initial Here