2026-2027 Preschool Registration Form
Please fill out this form and click submit.
Name of Child
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birthdate
*
Home Phone, if use one
*
Mom's Name
*
Mom's Email
*
This address will receive a confirmation email
Mom's Cell #
*
Dad's Name
*
Dad's Email
*
Dad's Cell #
*
Class Days/Times
2-Day Toddler
: Monday
and
Friday from 9:00 - 11:00 AM
3-Day Preschool
:
AM = Tuesday, Weds, Thurs. 9:00 AM - 11:30 AM
PM = Tuesday, Weds, Thurs. 12:30 PM - 3:00 PM
4-Day PRE-K
:
AM = Monday
thru
Thursday 9:00 AM - 12:00 NOON
PM = Monday
thru
Thursday 12:30 PM - 3:30 PM
Please Select which class you want to register for this year:
*
Please select one option.
2-Day Toddler AM ($1,298 Annual Tuition)
3-DAY Preschool AM ($1,731 Annual Tuition)
3-DAY Preschool PM ($1,731 Annual Tuition)
4-DAY Pre-K AM ($2,995 Annual Tuition)
4-DAY Pre-K PM ($2,995 Annual Tuition)
By submitting this registration, it is understood that you agree to pay the $50 registration fee to confirm your student’s enrollment. Your child's spot will not be confirmed until the registration payment is received. It is also understood that you agree to pay tuition beginning September 1st or prior according to the Tuition Policy of the Preschool at Palm Church. Please go to www.palmschwenkfelderchurch.com (Donations/Payments Tab) to make a payment online or via mail to P. O. Box 66, Palm PA 18070. We look forward to getting to know your student in the new school year!
*
Submit
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