Registration

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

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

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)

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:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Years with DWMSOD / Recital :*

Questions/Options:


Which Class are you applying for: T/Th 2s ( 2 by August 31, 2020), T/Th , MWF or M-F 3s ( 3 by August 31, 2020), MWF 3's/4's (4 by October 31, 2020) or M-F 4's ( 4 by August 31, 2020) 2 year PAC
2 year PAC Tuesday & Thursday 3 year PAC Tuesday & Thursday or Monday-Wednesday-Friday 4 – 5 year PAC 9:30 – 12:00 Monday-Wednesday-Friday Tuesday & Thursday
Has the applicant or any member of his or her family ever been enrolled in DWM Performing Arts Club ?
Has the applicant ever attended preschool before?*
Name three things you are looking for in a preschool.
What goals do you have, as a parent, in regards to the preschool experience for the applicant?
In your opinion, is the applicant "on track" for most developmental milestones appropriate for his or her age?
If no, please explain.
Please tell us how you heard about Preschool for the Arts. If you were referred by a friend, put that person's name here.
Additional Information

Additional Information:

Application Fee

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Application

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Acceptance Disclaimer

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