Preregistration: First Lutheran Preschool September 2018-May 2019
First Lutheran Preschool
3604 Chatham Road
Ellicott City, MD 21042
410-465-5977
www.firstlutheranec.org
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Email *
Child's First Name *
Child's Last Name *
Child's Gender *
Child's Birthday *
MM
/
DD
/
YYYY
Does your child have allergies? *
If yes, please explain below.
1st Parent/Caregiver Name (First & Last) *
2nd Parent/Caregiver Name (First & Last)
Street Address *
City *
State *
Zip Code *
Best Daytime Phone Number *
2018-19 Classes
Please choose one.
2.5 - 3 year olds (Child must be 2 1/2 years by Sept. 1)
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3 year olds (Child must be 3 years by Sept. 1)
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4 year olds PreK morning (Child must be 4 years by Sept.1)
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4-5 year olds PreK & STEAM full day  (Child must be 4 years by Sept. 1)
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4- 5 year olds STEAM afternoon
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I prefer *
If you have a second choice, please let us know.
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