Registration

Full Name

Preferred Name *

Address

Street Address *

City *

State *

Country

Postal code *

Phone *

Age *

Gender *

Female

Male

Graduating from KidsWay Preschool

Yes

Parents Guardian Information

Parent/Guardian Full Name *

Full Address *

Guardian Phone *

Emergency Contact Phone Number *

Email *

Relationship to Student *

How did you hear about us? *

Application Fee *

$ 75

Other amount

By checking this box, I am aware that $75 is for the application fee.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.