Apply for The Glen Academy – Pre-Enrollment Forms

Parent Information

First Name*

Last Name*

Home Phone*

Mobile Phone*

Email*

Address*

Address Cont'd

City*

State

Zip*

Employment Information

Employer

Work Phone

How many children are you considering for enrollment?

Child 1

Child's Name*

Gender*

Male
Female

Date of Birth*

Days/Hours Needed*

Previous Pre-School Experience?*

Yes
No

Child 2

Child's Name*

Gender

Male
Female

Date of Birth*

Days/Hours Needed*

Previous Pre-School Experience?*

Yes
No

Child 3

Child's Name*

Gender

Male
Female

Date of Birth*

Days/Hours Needed*

Previous Pre-School Experience?*

Yes
No

Child 4

Child's Name*

Gender*

Male
Female

Date of Birth*

Days/Hours Needed*

Previous Pre-School Experience?*

Yes
No

More Than 4 Children

Children Name & DOB*

General Info

How did you hear about The Glen Academy?*

Additional Comments

Ready to Get Started?

Complete Pre-Enrollment Forms

Pre-Enrollment Forms

Parent Information

Employment Information

Child 1

Child 2

Child 3

Child 4

More Than 4 Children

General Info