Please enter YOUR information below
First Name
*
Last Name
*
Phone
*
Email
*
Address
City
State
Zip code
Child 1 Full Name
*
Child 1 Date of Birth
*
Child 1 T-Shirt Size
Child XS
Child S
Child M
Child L
Child's Favorite Color
Child 1 Gender
*
Male
Female
Add another child?
Yes
No
Child 2 Full Name
Child 2 Date of Birth
Child 2 T-shirt size
Child XS
Child S
Child M
Child L
Child 2 Favorite Color
Child 2 Gender
Male
Female
Add another child?
Yes
No
Child 3 Full Name
Child 3 Date of Birth
Child 3 T-shirt size
Child XS
Child S
Child M
Child L
Child 3 Favorite Color
Child 3 Gender
Male
Female
To keep our online preschool running smoothly, please agree to all of these policies:
I understand that classes are held between 1:00-2:30pm EST, and that my child has to attend the class time I signed them up for and can not jump on at another time if they miss class.
I understand that after signing up, I will receive an email with access to the preschool's member's area, and I will find resources there on how the preschool runs.
I understand that after I sign up, I will join a free private Facebook group where ALL communications will be held. I understand that joining the free private Facebook group is required.
I understand that no refunds will be issued during the month if I decided I don't want my child to attend To the Moon Preschool. I also understand that I must give a 30 day notice.
Lastly, I understand that after I register and sign up for online preschool, it may take To the Moon Preschol up to 24 hours to send instructions on how to access the preschool classes.
Parent Agreement
*
I agree to all of the policies listed on this form.
Parent Signature
Clear
Date Signed
Did you get a referral to our Preschool?
*
Is there any topic or Holiday's that you do not wish your child to partake in? Please explain below.
*
I understand that my child may be photographed and/or videotaped while at preschool, and I give permission for To the Moon Preschool Online to use the resulting photographs and/or video clips of my child for these purposes:
Display video clips for promotional purposes on our preschool website and/or blog
*
Yes
No
Use photographs for our records and variety of arts and crafts projects
*
Yes
No
Display photographs for promotional purposes on our preschool website and/or blog
*
Yes
No
Your Name
*
Signature
*
Clear
