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Preschool Pre-Registration
Yakima Adventist Christian School
Enrollment Year 2013-2014

To reserve a spot in the Yakima Adventist Christian Preschool please fill out this form and email it back to the school.  When we receive your $25.00 non-refundable deposit and this form, your child will be placed on our student list.  The deposit will apply to the registration fee.  Children will be admitted as pre-registration fomrs are returned and as room in each session permits.  The entire registration packet will be sent to you in April and be due by May 1 to keep your reserved spot in the class.  You may make changes in your program choice in April as well as during the school year as your needs change and room permits.

Student Name        Student Birthdate 

Program Choice   Additional Options
  Extended Day (open 6:30 a.m. to 6:00 p.m.)
       a.m. to p.m.  (approximate hours)
     Early Morning Care
        (begin before 8:05 a.m.)
  Full Day  (8:15 a.m. to 3:20 p.m.)     Late Afternoon Care
       (stay after 3:20 p.m.)
  Half Day, AM  (8:15 a.m. to 11:20 p.m.)     Vacation Care
        (during scheduled school vacations)
  Half Day, PM  (1:30 p.m. to 3:20 p.m.)     Summer Program
      (a modified program during the summer)

Parent Information
First Name        Last Name 
City      State      Zip 
Phone      Email 

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