Columbia Heights Preschool Pre-registration Form

Today's Date____________

Child's Name________________________________________________________

Note: All students must meet the following age requirements. To enter the 3, 4, or 5 year old class, the child must be 3, 4, or 5 years respectively, by October 1 of the current school year.

Check the desired class and time.


______2 day session; Monday & Wednesday from 12:30-3 P.M., open to children 3 years as of 10/1.

______2 day session; Tuesday & Thursday from 9-11:30 A.M., open to children 3 years as of 10/1.

______3 day session; Monday & Wednesday & Friday from 9-11:30 A.M., open to children 3 years as of 10/1.

______3 day session; Monday, Wednesday, & Friday from 9-11:30 A.M., open to children 4 years as of 10/1.

______3 day session: Monday, Wednesday, & Friday from 12:30-3 P.M., open to children 4 years as of 10/1.

______3 day session; Monday, Wednesday, & Friday from 12:30-3 P.M., open to children 5 years As of 10/1.

______2 day session, Tuesday & Thursday from 9-11:30 A.M., open to children 4 years As of 10/1.

Children currently enrolled in preschool will have first preference for classes the following year until May 30. After that date, openings will be given on a first come, first serve basis. You will be notified by phone if you do not receive your first choice.

Parent's Name__________________________________________________________________

A registration fee of $50.00 needs to accompany this form.

(The following is completed by Pre-School Staff)

_______/______/_____ Cash Check Received by_______________________________

How did you hear about us? Friend____ Messenger___ Website___ Columbus Parent___

Other (describe)____________________________________________________________________

Any questions email us at chpreschool@hotmail.com