Waitlist — Palma Ceia Presbyterian Preschool

Waitlist Application

Fill out the form below and be sure to click the submit button. Your waitlist application is complete when you mail in or drop off a $25 waitlist fee and come on a tour.

Child's Name

First Name

Last Name

Child's Birth Date

YYYY

Child's Gender

Male

Female

Desired Date of Enrollment

Parent's Name

First Name

Last Name

Parent's Email

Parent's Phone Number

(###)

###

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Second Parent's Name

First Name

Last Name

Second Parent's Email

Second Parent's Phone Number

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Does your child have any special needs that you are aware of? If yes, please explain.

Are you a member of Palma Ceia Presbyterian Church?

Does your child currently have a sibling enrolled at Palma Ceia Presbyterian Preschool?