PLP School Year - Congregation Kol Ami

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Home > Education > Playful Learning Preschool > Register for the 2024-2025 School Year

Apply for the 2024–2025 School Year!
Please use the form below to apply for and pay your $100 deposit to hold your spot at the Playful Learning Preschool at Kol Ami 2024–2025 School Year. Please contact Kim Saul, Preschool Director, with any questions.

Go back to the Playful Learning Preschool Website

Billing Information

* First Name

* Last Name

* Email

* Phone

* Address

* City

* State

* ZIP Code

Child Information

* Child's Full Name

Name Child Goes By

* Gender

* Date of Birth

* Age

Any know allergies? If yes, please list them.

I give permission for my child's photographs to be shown on PLP's website, social media, newsletters, or any other publication.

Parent/Guardian Information

* Parent/Guardian 1 Name

Home Phone #

Email Address

Cell Phone #

Employer

Work Phone #

* Parent/Guardian 2 Name

Home Phone #

Email Address

Cell Phone #

Employer

Work Phone #

Home Information

* Child Lives With

If "Other," Please Provide Details

Sibling's Names and Ages

Emergency Contacts

Name/Relationship

Cell Phone #

Name/Relationship

Cell Phone #

Schedule & Deposit

* Please Indicate Which Program(s) You Are Applying For

2-Year-Old Preschool Class3-Year-Old Preschool Class4-Year-Old Preschool Class

* Please Indicate Which Schedule(s) You Are Applying For

Full Day, Monday – Friday, 8:30 am – 3:00 pmHalf Day, Monday – Friday, 8:30 am – 12:00 pmAfter Care, Monday – Friday, 3:00 pm – 5:00 pm

* By checking this box you are agreeing to pay a $100 deposit to hold your child's place.

By checking this box you are agreeing to pay a $100 deposit to hold your child's place.

Additional Comments

Sat, July 27 2024
21 Tammuz 5784

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CONGREGATION KOL AMI
2425 East Heritage Way, Salt Lake City, Utah 84109
PHONE 801-484-1501 • FAX 801-484-1162 • info@conkolami.org

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