ShineKids Preschool Registration Form

Name

This address will receive a confirmation email

Phone

Address

Registration Cost (per child)= $50

Select Class(es):

2/3 year old (Wednesday) 3/4 year old (Tuesday & Thursday) Pre-K (Tuesday, Wednesday & Thursday) Multiage (Friday) Lunch Bunch Tuesday Lunch Bunch Wednesday (Pre-K only) Lunch Bunch Thursday

Child's name

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please complete one form per child and click submit to make payment.

ShineKids Preschool Registration Form

Description

Please Fix the Following