PLP School Year 2022-23 - Congregation Kol Ami

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Apply for the 2022 – 2023 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 2022 – 2023 School Year. Please contact Kim Saul, Preschool Director, with any questions.

Click here to 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

Parent/Guardian Information

* Mother's Name

Home Phone #

Email Address

Cell Phone #

Employer

Work Phone #

* Father's 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

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

Fri, May 20 2022
19 Iyyar 5782

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Fri, May 20 2022 19 Iyyar 5782