Apply Online | Childrens Garden Preschool

Child's Information

Child's Last Name*

Child's First Name*

Child's Middle Name*

Child's Prefered Name*

Child's Birthdate*

Home Information

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Father's Information

Father's Name*

First Last

Father's Cell Phone Number*

Father's Email*

Father's Occupation

Father's Place of Employment

Father's Work Phone Number

Mother's Information

Mother's Name*

First Last

Mother's Cell Phone Number*

Mother's Email*

Mother's Occupation

Mother's Place of Employment

Mother's Work Phone Number

Additional Information

Names and Ages of Siblings (Include if a Former Student)

Church Family Attends

Previous Preschool / Group Experiences

Special Physical/Emotional / Medical Needs

Enrollment Information

What school year will your child start Kindergarten?*

Class Selection*

Choose Mothers Morning Out Day

Monday
Tuesday
Wednesday
Thursday
Friday

Special Requests / Notes

The application process is not complete until the non-refundable application fee of $75.00 is received. Please send your payment to the preschool at the following address. Please make checks payable to Children's Garden Preschool or you may use our PayPal link which you will be routed to after this application is submitted.

Children's Garden Preschool
St. Giles Presbyterian Church
5200 Grove Ave.
Richmond, VA 23226