Pre-Registration Form Pre-Registration This is a sample pre-registration form Registration dateChild's Name* Date of Birth* MM slash DD slash YYYY Environmental history* Presently attends school Previously attended school Playgroup experience Contact InformationParent/Guardian 1:* Email* Address Street Address Address Line 2 City ZIP / Postal Code Phone (Home):Phone (Cell):Parent/Guardian 2: Email Address Same as previous Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone (Home):Phone (Cell):How did you hear about Magic Garden Children's Center? If a family referred you, please let us know who they areEnrollment PreferencesPlease note: Monthly tuition fees cover the core hours from 8:00 A.M. to 3:00 P.M. Tuition rates may rise approximately 3-6% each year. The add-on hourly rate for additional hours is adjusted each year to coordinate with the new tuition rate Toddler Program: minimum enrollment of two days/week Preschool and Pre-kindergarten program: minimum enrollment of three days/week Magic Garden is a 12-month Program, enrollment begins on September 1, and ends on August 31. Please indicate your preference for arrival and departure times and days of the week: 7:30 arrival (treated as one extra contracted hour daily) 8:00 arrival 3:00 departure 4:00 departure (one extra contracted hour daily) 5:00 departure (two extra contracted hours daily) Please select the collection of days of the week that you would like to enroll your child for.Days: First choice Monday Tuesday Wednesday Thursday Friday Days: Second choice Monday Tuesday Wednesday Thursday Friday Days: Third choice Monday Tuesday Wednesday Thursday Friday NameThis field is for validation purposes and should be left unchanged.