Preschool Registration - Siloam Christian Preschool

864-269-3921
[email protected]

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Siloam Christian Preschool Registration

Child's Name*

First

Last

M/F*

Male

Female

Date of Birth*

Mom's Name*

First

Last

Mom's Cell #*

Mom's Work #*

Mom's Email*

Mom's Place of Business*

Dad's Name*

First

Last

Dad's Cell*

Dad's Work

Dad's Email *

Dad's Place of Business

Child Lives With*

If Other please list name/relation:

Home Mailing Address*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Emergency Contact Information

EC 1*

First

Last

EC 1 Cell*

EC 2*

First

Last

EC 2 Cell

Please list any allergies

Single ChoiceDoes your child have an EpiPen?*

Yes

No

Additional Information You Would Like Us to Know

Preschool Class Options

Please choose appropriate age and number of days*

K4 - (4 days) Mon-Thur - $250/month

K3 - (4 days) Mon-Thur - $250/month

K3 - (3 days) Tue-Thur - $225/month

K2 - (4 days) Mon-Thur - $250/month

K2 - (3 days) Tue-Thur - $225/month

Registration Fee: $50 ($80 per family)

Materials Fee: $30

Contact Us

229 Siloam Road
Easley, SC 29642
Phone: 864-269-3921
Fax: 864-295-0105

[email protected]

Classes

Mother’s Morning Out
K2 Class
K3 Class
K4 Class

REGISTER