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UNITED PRESCHOOL
Home
All About Us
Classes & Fees
Register
For Parents
Contact Us
United Preschool Center
Registration
2025 - 2026
Please read through the Terms and Conditions Here:
Terms and Conditions
Registration Form:
Primary Account Holder Information:
*
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Primary Account Holder Name
*
First
Last
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Primary Account Holder Email
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Primary Account Holder Phone Number
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Primary Account Holder Address
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City
State
Zip Code
Country
How did you hear about us?
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I have read and agree to United Preschool Center's Terms and Conditions
*
Yes
I understand that I need to submit my child's immunization form or an exemption form to United Preschool Center by August 1st, 2025.
*
Yes
Secondary Account Holder Information:
Secondary Account Holder Name
*
First
Last
[object Object]
Secondary Account Holder Email
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Secondary Account Holder Phone Number
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Secondary Account Holder Address
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Line 2
City
State
Zip Code
Country
Emergency Contact Information:
(Please list an emergency contact who is not a parent of the child)
Emergency Contact Name
*
First
Last
Emergency Contact Phone Number
*
Emergency Contact Relation to Child
*
Child's Information:
Child's Name
*
First
Last
Child's Date of Birth
*
Child Is
*
Male
Female
Medical Conditions / Dietary Restrictions
*
Please put "none" if you are not aware of any medical conditions or dietary restrictions.
Select Program:
3/4 Year Old Class Time Options:
(First Year Preschoolers!)
* Children must be 3 years old by September 1st.
Please Choose One:
*
Option 1: 2 Days / Mon & Wed 9:30 a.m. - 12:00 p.m.
Option 2: 2 Days / Tue & Thur 9:30 a.m. - 12:00 p.m.
4/5 Year Old Class Time Options:
(Second Year Preschoolers!)
* Children must be 4 years old by September 1st.
Please Choose One:
*
Option 1: 4 Days / Mon-Thur 9:00 a.m. - 11:30 a.m.
Option 2: 4 Days / Mon-Thur 12:15 p.m. - 2:45 p.m.
Option 3: 2 Days / Tue & Thur 12:45 p.m. - 3:15 p.m.
$120.00 Registration Fee Payment Note:
After receiving your registration, we will set up an account on our Brightwheel Software. This may take up to 2 business days. We will charge the registration fee to your software account and you will receive an invoice through email. The registration fee will be due within 5 business days of the invoice being sent.
Signature:
By typing your name below, you agree that the above information is correct and agree to United Preschool Center's Terms and Conditions
*
Submit
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