Registration

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CDE is excited for year 4 of Fireflies Preschool! A $75 non-refundable application fee will be processed with your application. There will currently be 3 class offerings and an option for Lunch Bunch for 2s: 2s Class: Tu/Th 9:00am-12:00pm 2s Lunch Bunch: T/Th 12pm-1pm 3s Class: M/W/F 8:30am-12:30pm 4s Class: M-Th 9:00am-1:00pm

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:*	Current Grade Level:*
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):

Questions/Options:


Are you applying for the 2s class? (Must turn 2 by 8/31/26)*
Are you applying for the 2s Lunch Bunch?*
Are you applying for the M/W/F 3s class? (Must turn 3 by 8/31/26)*
Are you applying for the 4s class? (Must turn 4 by 8/31/26)*
Is your family a current 2025-2026 member of Christy's DancExplosion?*
My reasons for enrolling my child in preschool are:*
How does your child react when upset or sad?*
Do you have any concerns about your child's speech and/or language development?*
Do you have any concerns about your child's social and/or cognitive development?*
Please describe the child's toilet habits/abilities.*
List all allergies (food, environmental, etc.)*
List any medical problems or health conditions.*
List any medications being taken by your child.*
Date of last physical examination.
Child's Physician Contact Information*
Are there other children in the family? If so, please list names and ages.
How did you hear about Fireflies Preschool?
What size T-Shirt do you anticipate your child will need in August 2026? (2T, 3T, 4T, 5T or small 6-8)*

Additional Information:

Application Fee

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Tuition and Fees

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Class Age Requirement

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Medical Requirements

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