Enrollment Application

Application Fees

Upon completing this form you will be charged an application fee of $150.

We will reach out to you to schedule a tour upon receipt of your application and payment.

Child 1 Name

Child 1 Birthdate

Child 1 Gender

Add A Second Child

Remove Second Child

Child 2 Name

Child 2 Birthdate

Child 2 Gender

Parent 1 Name

Phone (Primary Contact)

Employer

Work Address (line 1)

Work Address (Line 2)

City

State

Zip

Country

Add A Second Parent

Remove Second Parent

Parent 2 Name

Phone (Primary Contact)

Employer

Work Address (line 1)

Work Address (Line 2)

City

State

Zip

Country

Home Address (Line 1)

Home Address (Line 2)

City

State

Zip

Country

How did you hear about The Serra Preschool?

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