Extra

This form may be emailed directly or printed and mailed.
Please supply the information below and select the days you would like for your child to attend our school.
Your child's space will be reserved when the form has been submitted and the registration fee has been received.

Please mail the registration fee to:
Faith Baptist Preschool
2728 Marks Creek Rd
Knightdale, NC 27545.
We accept checks, money orders, or cash.
(Registration fee may be refunded under certain circumstances.)

PreSchool Registration Form

* Indicates required field

Child's First & Last Name *

First

Last

Name Called *

GENDER *

Male Female

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth 00/00/0000 *

Date of Registration 00/00/0000 *

Specific Days Desired *

Mother's Name *

First

Last

Email *

Mother's Cell Number *

Mother's Work Number *

Mother's Occupation *

Father's Name *

First

Last

Email *

Father's Cell Number *

Father's Work Number *

Father's Occupation *

Others authorized to pick up child from preschool* *

Phone Number *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Child has a tendency to be: *

Right Handed Left Handed

Is child toilet trained *

Yes No Maybe

Child is frightened or upset by: *

Child is comforted by: *

Child's favorite things *

With whom does child usually play? *

How does he/she show feelings? *

What method of discipline is used when he/she behaves in a way that is not acceptable? *

What goals or expectations do you have for your child's preschool experience? *

Allergies? *

Regular Medications *

Medical conditions we should be aware of *

Physician *

Physician's Phone Number *

Comment *

Please submit a copy of your child's immunization record before the first day of preschool. You may have the information faxed to us at (919-266-0097) attention: Fay Wilkerson

Submit

PreSchool Registration Form

Location

What Our Parents Are Saying

Contact Us
919-261-9178

Subscribe

PreSchool Registration Form

Location

What Our Parents Are Saying

Contact Us919-261-9178

Subscribe

Contact Us
919-261-9178