Midtown Atlanta: (404) 541-0700

 

Eagles Landing Stockbridge: (770) 389-9393

 

Stone Mountain: (770) 465-3434

 

Pre-K Registration Form:

School Location


Child Information














MaleFemale









If the Student is transferring from another Pre-K, please provide the following:



Parent Guardian Information

Parent/Guardian #1 Information






Please note - you only need to enter the address if it is different from the child

























Parent/Guardian #2 Information































Emergency Contact Information

Emergency Contact #1








Emergency Contact #2










Child Maintenance Information:


BOTH PARENTSFATHERMOTHEROTHER


BOTH PARENTSFATHERMOTHEROTHER

The child may be released to the person(s) signing this agreement or to the following people:

Person #1 your child can be released to




Person #2 your child can be released to




Person #3 your child can be released to




Person #4 your child can be released to




Health Information:

















 

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