Preschool Application Form

Child's Name: *

Date of birth: *

Parent's names: *

Address: *

Phone Number: Secondary Phone Number: *

Email Address: *

Does your child have any special needs or issues? *

* Required Fields

Please Select your Preschool Need: 

- Monday/Wednesday/Friday AM (3-5 years old) $135/month

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- All Day Option (Starts in January 2008) (3-5 years old) $180/week

Please indicate which days/hours you require by placing the hours next to the day (ex: Monday 8am - 4pm):

Monday
Tuesday
Wednesday
Thursday
Friday

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Additional Comments:

 

"Let the little children come to me, and do not hinder them, for the kingdom of God belongs to such as these."

Mark 10:15

 

If you have any questions or concerns in regards to this form please contact the webmaster

You may also contact Harbor Community Church at the number listed below

 

Harbor Community Church
5995 Timber Trail
Prior Lake, Minnesota 55372
Office 952- 447-6191