Little FOLCs Preschool 

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Little F.O.L.C.s

Fountain of Life Preschool

2 S 361 Glen Park Rd.

Lombard, Il. 60148

(630) 627-7202

Enrollment Form

   Please check the session in which you wish to enroll your child:

 ______ 9:00-11:30 MWF

 ______ 9:00-11:30 MW

 Child’s Name: _________________________  Child’s Nickname: _________________

  Child’s Complete Street Address: ___________________________________________

  Town and Zip Code: __________________________ Phone: _____________________

  Child’s Birthdate: ________________Child’s Age: _________Child’s Sex___________

  Mother’s Full Name: ____________________Father’s Full Name: _________________

 Address of parent(s)

if other than above: _______________________________________________________

  Family’s Church Affiliation: ________________________________________________

 Registration Fee: $30.00 non-refundable.

  CONSENT STATEMENT

 I , the undersigned, understand my child will be taught from a Christian perspective.

________________________________________