Registration

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CDE is excited for year 2 of Fireflies Preschool! Registration will be open to current Fireflies students on 1/1/24, CDE Members on 1/15/24, and to the public on 2/1/24. A $75 non-refundable application fee will be processed with your application. There will be 3 class offerings: 2s Class: T/Th 9am-12pm, 3s Class: M/W/F 9am-1pm, and 4s Class: M-F 9am-1pm

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

Questions/Options:


Are you applying for the 2s class? (Must turn 2 by 8/31/24)*
Are you applying for the 3s class? (must be 3 by 8/31/24)*
Are you applying for the 4s class? (Must turn 4 by 8/31/24)
Is your family a current 2023-2024 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?*
What size T-Shirt do you anticipate your child will need in August 2024? (2T, 3T, 4T, 5T or small 6-8)

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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