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When filling out application please take the time to do it all at once. If you take too long in filling out the application a full application will not be submitted and your registration will be incomplete!
How did you hear about OUMC Preschool/Pre-K?*
Enrollment: *
Child's Name: *
First Name
Middle
Last Name
Name to be used in school:*
Sex: *
Date of Birth:*
Child's Age: *
What hand does your child dominantly use to draw and write? *
Address: *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Home Phone:
Mother's Name: *
First Name
Middle
Last Name
Mother's Cell Phone:*
Mother - TEXT?*
Mother's E-mail Address:*
Mother's Address: (If different from child)
Mother's Employer:
Mother's Occupation:
Mother's Work Phone:
Father's Name: *
First Name
Middle
Last Name
Father's Cell Phone:*
Father - TEXT?*
Father's E-mail Address:*
Father's Address: (If different from child)
Father's Employer:
Father's Occupation:
Father's Work Phone:
Marital Status of Parents: *
Other Children In Family: (Please include FULL name, date of birth and grade in school) *
Daycare:
Daycare Phone:
Daycare Address:
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Contacts if parents cannot be reached: ~ Enter up to 3 ~ (Please include name, phone number and relationship to the child) *