Registration

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CDE is excited to offer our brand new Fireflies Preschool for the 2023-2024 School Year! Registration will be open to current CDE Members beginning December 12, 2022 and open to non-members beginning February 1, 2023. A $100 non-refundable registration fee is due with the application. There will be 2 classes offered: Tues/Thurs for ages 2 years 8 months through 3 years 8 months. Mon/Wed/Fri for ages 3 years 8 months through 5 years old.

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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Questions/Options:


Are you applying for the T/Th, ages 2 yrs, 8 mos through 3 yrs 8 mos (must be 2 yrs, 8 mos by 8/31/22) *
Are you applying for the M/W/F, 3 yrs 8 mos through 5 yrs (must be 3 yrs, 8 mos by 8/31/22)*
Is your family a current 2022-2023 member of Christy's DancExplosion?*
My reasons for enrolling my child in preschool are: *
Does this child have any fears or phobias?*
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?*

Additional Information:

Application Fee

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Tuition

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Class Age Requirement

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Medical Requirements

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