Childs Name *
Childs Name
Child's Birthdate
Child's Birthdate
Child's Gender
Mother's Name *
Mother's Name
Father's Name *
Father's Name
Home Phone
Home Phone
Mobile Phone *
Mobile Phone
Address *
Address
Directory *
Do you wish to be in the school directory?
Are you a temple member?
Age Group
What age group is your child in?
How many days per week would you like to attend?
What length of day option would you like?
Early Bird *
Would you like to enroll in early bird drop off? (8:00am - 9:00am?)

NON-REFUNDABLE REGISTRATION FEE TO BE SUBMITTED WITH THIS ENROLLMENT FORM. 

Temple Shalom members in good standing may deduct 10% from the tuition fees as listed.

In early August you will receive your enrollment packet and information regarding your child’s class placement for the school year. 

*If a student withdraws from Temple Shalom Preschool for any reason, parents understand and agree that no portion of the tuition and fees paid shall be refunded and that any remaining unpaid balance of tuition and fees for that semester (September-December or January-May) shall be immediately due and payable to Temple Shalom Preschool.