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Message: *

Subject: *

Father's Name: *

My child will need Before School Care on the following days: (Please note we open at 7:45 a.m.)

Monday

Tuesday

Wednesday

Thursday

Friday

Bethlehem

Preschool

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What would you like to enroll your child in? *

Monday/Wednesday 3K

Tuesday/Thursday 3K

Fabulous Friday

4K (Private Pay)

JAM Session - 1 Friday/month

Before School Care

After School Care

Wales 4K After School Care

Family Email: *

We are honored that you have chosen to enroll your child with us! We are excited to have your family join our preschool family. You will receive a confirmation email in 1 -2 business.

Child's Name: *

Child's Date of Birth: *

Registration Fee Agreement: I understand that I am responsible for the $50 registration fee within 14 days of receiving it. (Not applicable to Music & Movement) *

Yes, I agree

My child will need After School Care on the following days:

Monday

Tuesday

Wednesday

Thursday

Friday

Email: *

Phone Number: *

TODAY FOR MORE INFO!

If attending After School Care (in house or from Wales Elementary), please tell us what your approximate daily pick up time will be?

Name: *

Mother's Name: *

Child's Name:

Address: *

Please fill out the contact form to the right if you would like more information.

If you are ready to ENROLL NOW, complete the form below to guarantee your spot!

ENROLLMENT FORM:

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Bethlehem

Preschool

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