Registration Page

United Preschool Center
Registration
2023 - 2024

Please read through the Terms and Conditions Here:

Terms and Conditions

Registration Form:

Primary Account Holder Information:

* Indicates required field

Primary Account Holder Name *

First

Last

Primary Account Holder Email *

Primary Account Holder Phone Number *

Primary Account Holder Address *

Line 1

Line 2

City

State

Zip Code

Country

How did you hear about us? *

I have read and agree to United Preschool Center's Terms and Conditions *

Yes

Secondary Account Holder Information:

Secondary Account Holder Name *

First

Last

Secondary Account Holder Email *

Secondary Account Holder Phone Number *

Secondary Account Holder Address *

Line 1

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 *

Select Program:

3/4 Year Old Class Time Options:
(First Year Preschoolers!)

Please Choose One: *

3/4 Year Old Program (T/TH) PM 11:45 - 2:15 p.m.

4/5 Year Old Class Time Options:
(Second Year Preschoolers!)

Please Choose One: *

4/5 Year Old Program (M/W/F) PM 11:45- 2:15 p.m.

Optional Add on Classes for 3/4 Year Olds:

Please Choose Optional Add on Classes: *

Yes, Add my student into the dance class that follows the academic class time on Tuesdays (3/4 Yr Olds). * This class is 1 hour Yes, Add my student into the dance class that follows the academic class time on Thursdays (3/4 Yr Olds). * This class is 1 hour Yes, Add my student into the tumbling class on Fridays from 1:00 - 2:00 p.m. (3/4 Yr Olds). I am not interested in adding optional classes

Optional Add on Classes for 4/5 Year Olds:

Please Choose Optional Add On Classes: *

Yes, Add my student into the dance class that follows the academic class time on Mondays (4/5 Yr Olds). * This class is 1 hour Yes, Add my student into the dance class that follows the academic class time on Wednesdays (4/5 Yr Olds). * This class is 1 hour. Yes, Add my student into the tumbling class that follows the academic class time on Fridays (4/5 Yr Olds). This class is 1 hour I am not interested in adding optional classes.

Registration Fee Payment:

3/4 Year Old Program: $110.00 non-refundable registration fee.
4/5 Year Old Program: $120.00 non-refundable registration fee.

Payment Options:
* Venmo (see below)
* Cash, Card or Check at United Preschool Center.

Registrations left unpaid after 1 week will not be saved.

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

United Preschool Center
Registration
2023 - 2024

Registration Form:

Primary Account Holder Information:

Secondary Account Holder Information:

Emergency Contact Information:
(Please list an emergency contact who is not a parent of the child)

Child's Information:

Select Program:

3/4 Year Old Class Time Options:
(First Year Preschoolers!)

4/5 Year Old Class Time Options:
(Second Year Preschoolers!)

Optional Add on Classes for 3/4 Year Olds:

Optional Add on Classes for 4/5 Year Olds:

Registration Fee Payment:

Signature:

We Would Love to Hear From You!

Address

Telephone

Email

United Preschool Center​Registration2023 - 2024

Registration Form:

Primary Account Holder Information:

Secondary Account Holder Information:

Emergency Contact Information:(Please list an emergency contact who is not a parent of the child)

Child's Information:

Select Program:

3/4 Year Old Class Time Options:(First Year Preschoolers!)

4/5 Year Old Class Time Options:​(Second Year Preschoolers!)

Optional Add on Classes for 3/4 Year Olds:

Optional Add on Classes for 4/5 Year Olds:

Registration Fee Payment:

Signature:

We Would Love to Hear From You!

Address

Telephone

Email

United Preschool Center
Registration
2023 - 2024

Emergency Contact Information:
(Please list an emergency contact who is not a parent of the child)

3/4 Year Old Class Time Options:
(First Year Preschoolers!)

4/5 Year Old Class Time Options:
(Second Year Preschoolers!)