Peek-A-Boo Preschool Online Registration

Registration

Already a customer? Click here to login.

Welcome to Peek-A-Boo Preschool! Students in our preschool program can enroll in 2, 3, or 5 days a week OR our Tue/Thur PM class. Parents can pick which days best fit their schedule.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Home School District*

Prior Daycare/School Experience - yes or no

Please List Any Special Needs (please note we do not have SPED staff on site)*

Student Allergies AND dietary restrictions*

Does your child attempt to eat/chew non-edibles? If "Y" please contact us prior to registration*

Where is your child in the potty training process?*

Have you spoke to your child's pediatrician about enrollment in our program? *

Does he/she believe your child will benefit from our program? If "no" please contact us prior *

How many days per wk enrolled?*

Sept tuition is due July 1st*

Please click on the button below, then choose the class you prefer.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Home School District*

Prior Daycare/School Experience - yes or no

Please List Any Special Needs (please note we do not have SPED staff on site)*

Student Allergies AND dietary restrictions*

Does your child attempt to eat/chew non-edibles? If "Y" please contact us prior to registration*

Where is your child in the potty training process?*

Have you spoke to your child's pediatrician about enrollment in our program? *

Does he/she believe your child will benefit from our program? If "no" please contact us prior *

How many days per wk enrolled?*

Sept tuition is due July 1st*

Please click on the button below, then choose the class you prefer.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Home School District*

Prior Daycare/School Experience - yes or no

Please List Any Special Needs (please note we do not have SPED staff on site)*

Student Allergies AND dietary restrictions*

Does your child attempt to eat/chew non-edibles? If "Y" please contact us prior to registration*

Where is your child in the potty training process?*

Have you spoke to your child's pediatrician about enrollment in our program? *

Does he/she believe your child will benefit from our program? If "no" please contact us prior *

How many days per wk enrolled?*

Sept tuition is due July 1st*

Please click on the button below, then choose the class you prefer.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Home School District*

Prior Daycare/School Experience - yes or no

Please List Any Special Needs (please note we do not have SPED staff on site)*

Student Allergies AND dietary restrictions*

Does your child attempt to eat/chew non-edibles? If "Y" please contact us prior to registration*

Where is your child in the potty training process?*

Have you spoke to your child's pediatrician about enrollment in our program? *

Does he/she believe your child will benefit from our program? If "no" please contact us prior *

How many days per wk enrolled?*

Sept tuition is due July 1st*

Please click on the button below, then choose the class you prefer.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Home School District*

Prior Daycare/School Experience - yes or no

Please List Any Special Needs (please note we do not have SPED staff on site)*

Student Allergies AND dietary restrictions*

Does your child attempt to eat/chew non-edibles? If "Y" please contact us prior to registration*

Where is your child in the potty training process?*

Have you spoke to your child's pediatrician about enrollment in our program? *

Does he/she believe your child will benefit from our program? If "no" please contact us prior *

How many days per wk enrolled?*

Sept tuition is due July 1st*

Please click on the button below, then choose the class you prefer.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Jackrabbit Technologies' class management platform & registration portal is trusted by 1000s of
dance studios , gyms , swim schools , music schools , cheer gyms , childcare centers , and more .

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)