Lakeview Preschool- Request for More Information

Please fill out the following form to request an official brochure, admission policy statement and application. This information is for our office use only and will not be shared.
* denotes a required field

*Name of Child:

*Name of Parent(s):

*Phone Number:

*E-mail:

Address:
*Street *City *State *Zip Code

*Child's Birthdate:
Note: Children must have reached their 3rd birthday by September 1st of their entering year. If your child will be too young to join us this year we will still be happy to send you our brochure and information letter, and we invite you to re-contact us in the following year.

Child's gender: Male Female

How did you hear about the program?

Print Advertisement Phone Book or Directory From a Current Family
From a Past Family General Word of Mouth
Other (please list)

Is there anything else you'd like us to know?