Pre-Register

Pre-registration does not guarantee enrollment into our center programs. Judy Shoup, our Administrator, will contact you to discuss your enrollment options once she has received your pre-registration form.

Child’s Name:  Date Of Birth: Mother/Guardian:  Phone: Address:  City:  Zip: 

Email Address:    Father/Guardian:  Phone:  Address:  City:  Zip:  Email Address:  Pre-registration information will be emailed to the Administrator, Judy Shoup.