LRP Registration

Little Ranch Pre-School Registration Form

* You will need to submit this form for each of the children you want to register. This will provide us specific information on a per child basis.

CHILD-PARENT INFORMATION
Full Name of Child:
Sex:	Male Female
Date of Birth:
Mothers First and Last Name:
Mother Member:	Yes No
Fathers First and Last Name:
Father Member:	Yes No
Street Address (Childs Residence):
City:
State:
Zipcode:
Home Phone No.
Subdivision Name:
CONTACT INFORMATION
Mother Work Phone:	Ext.
Mother Cell Phone :
Mother Email :
Father Work Phone :	Ext.
Father Cell Phone :
Father Email:
Emergency Contact Name:
Emergency Contact Home Phone No.
Emergency Contact Work Phone No.	Ext.
Emergency Contact Cell Phone No.

AUTHORIZATION
Please review the information you have provided above for accuracy before pressing the "submit" button below. You must be the PARENT or LEGAL GUARDIAN of the child listed above. Your submission of this information to Little Ranch Preschool is your authorization to use the information in the best interest of the child and Little Ranch Preschool. Upon your submission below, you are requesting that your child be admitted into the Little Ranch Preschool for the current school year. Your registration will not be processed until the Little Ranch Preschool office has received your registration fee, and the first two months tuition expenses. The fee and the first two months tuition is Non-Refundable.

Non-Discrimination Policy
LittleRanch Preschool admits students of any race, color, sex, or national or ethnic origin to all the rights, priviledges, programs and activities generally accorded or made available to students at the school. LittleRanch does not discriminate on the basis of race, color, sex, or national or ethnic orgin in administration of its educational policies, admissions policies, scholarship programs, and other school-administered programs.