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N.B.U.M.C. Preschool Registration Form
*
Indicates required field
Child's Name
*
First
Last
Male or Female
*
Male
Female
Nickname
*
Birth Date
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Father's Name
*
First
Last
Father's Mobile Phone
*
Father's Home Phone
*
Father's Email
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Fathers Home Address
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Line 1
Line 2
City
State
Zip Code
Country
Father's Employer
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Father's Occupation
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Father's Work Phone
*
Father's Work Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mother's Name
*
First
Last
Mother's Mobile Phone
*
Mother's Home Phone
*
Mother's Email
*
Home Address
*
Same As Father
Different Address (fill in below)
Mother's Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mother's Employer
*
Mother's Occupation
*
Mother's Work Phone
*
Mother's Work Address
*
Line 1
Line 2
City
State
Zip Code
Country
Please select the most appropriate answer:
*
I give permission to NBUMC Preschool to use my name, child's name, address and phone number in school handbook. (Booklets are only distributed to preschool children's families.)
No, I do not give permission.
Parents Marital Status
*
Married
Divorced
Seperated
Single
Widow/Widower
Please list other household members, relationship to child, and the age of any siblings.
*
IN CASE OF AN EMERGENCY, WHO SHOULD BE CALLED IF PARENTS ARE UNAVAILABLE?
Contact Name
*
First
Last
Best Contact Number
*
Relationship to Child
*
Contact Address
*
Line 1
Line 2
City
State
Zip Code
Country
Health Information
Are immunizations up to date?
*
List of Allergies
*
Special Medical Conditions
*
After completing online application, please send a $25 (non-refundable) registration fee to:
New Brighton United Methodist Church Preschool (N.B.U.M.C Preschool)
1033 Sixth Ave.
New Brighton, Pa 15066
3 & 4 year olds meet Monday, Wednesday, and Fridays - 1:00 p.m. to 3:00 p.m.
4 & 5 year olds meet Monday, Tuesday, Wednesday, Thursday, and Friday - 9:00 a.m. to 11:30 a..m.
Tuition Rates:
3-4 year olds - $65.00 per month = $585 per school year
4-5 year olds - $110.00 per month = $990 per school year
Application is only finished by coming to the Preschool, signing and putting down a deposit
*
Accept and will come to Preschool
Submit
Home
Who We Are
Our Vision
This Church
The United Methodist Church
Our History
NBUMC Staff
When We Worship
Traditional
Contemporary
How We Serve
Outreach
Children + Youth
Adults
Get Involved
NBUMC Preschool
Events/News
Calendar
Connect
Contact Us
Find Us
Request Prayer
Donate Online
Church Directory
Forms
>
Room Request Form
Preschool Registration Form
Trailblazers Registration Form
Employment