Registration | Harvest Preschool

Harvest Preschool Student Application

Which class?

Three Year Old Class (Age 3 before 9/1/2025)

Four Year Old Class (Age 4 before 9/1/2025)

Child's First and Last Name

Nickname

Age

Child's Primary Language

Sex

Date of Birth

Parent/Guardian's Primary Language

Child's Home Address

Does your child have any allergies or medical concerns we should know about? Please explain

Does your child qualify for or recieve special services? Please explain

Child lives with?

Parent/Guardian #1

Relationship to child

Phone

Address if different then child

Parent/Guardian #2

Relationship to child

Phone

Address if different then student

Emergency contact if parents can't be reached.

Do you have a church you attend? If so, where?

How did you hear about Harvest Preschool?

Disclaimer: Registration fee must be submitted for your registration to be considered. When you hit "Apply" the tuition and fees page will allow you to pay your required, non refundable registration fee. This fee will hold your child's spot in the class or on the wait list.