Compassion Preschool

Enrollment Agreement

Mother's Name

First Name

Last Name

Father's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

Email Address

Child's Name

Child's Birthdate

Child's Gender

List any allergies

Emergency Contact #1

Name, Relationship, Phone Number

Emergency Contact #2

Name, Relationship, Phone Number

Pick-up Authorization

Please list anyone authroized to pick up your child.

Preschool Class

Pick up/Drop off Location

If you are interested in transportation, please note the entire address of the pick up/drop off location. We will notify you if we are able to accommodate transportation since we have a limited number of spots available.

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Name

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