2022/2023 Real Life Nursery School & Kindergarten
Fall Registration Form

Child Information

Thank you for your interest in our Nursery School Program! Our program starts at age 2 ½ and goes all the way up through Kindergarten.
We offer 4 programs based on your child's age. In this registration form you will be asked to select which program you wish your child to be enrolled in. You can click here to learn more about each program.
Child Information -> Parent Information -> Additional Information -> Days Coming -> Parent Policy Agreement -> Photo Consent -> FINISH

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Name of Child's Physician or Health Clinic: Physician's Phone Number:
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Address of Child's Physician or Health Clinic: City:
State:   Zip:
Hospital Preferred for Emergency Treatment: Name of Insurance Carrier:
Date of Last Tetanus Shot: Health Insurance Policy Number:
Allergies, if any: