&lt;div&gt; Preschool Registration&lt;/div&gt;

School Year Applying For REQUIRED Please fill out this field.

STUDENT INFORMATION

Child's Name (First-Middle-Last) REQUIRED Please fill out this field. Please enter valid data.
Gender REQUIRED Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Country of Birth REQUIRED Please fill out this field. Please enter valid data.
Religious Affiliation (if applicable) REQUIRED Please fill out this field. Please enter valid data.
Ethnicity REQUIRED African American American Indian Asian Caucasian Hispanic or Latino Middle Eastern Other Please fill out this field.
Child lives with: REQUIRED Please fill out this field.
Resident School District REQUIRED Please fill out this field. Please enter valid data.

FAMILY INFORMATION

Are you a current Nouvel family (22-23) or staff member? REQUIRED Yes, I have students currently enrolled Yes, I am a proud staff member No, I am not a current family yet Please fill out this field.
Parish/Religious Affiliation REQUIRED Please fill out this field.
Your child is NOT required to be baptized to attend NCC, however, in order to best prepare each child for their sacraments, if applicable, please provide the following:
Has your child been Baptized? REQUIRED Please fill out this field.
Date of Baptism Please enter a date.
Place of Baptism Please enter valid data.

Primary Guardian Information (First Contact)

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Student REQUIRED Please fill out this field. Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Primary Email REQUIRED Please fill out this field. Please enter an email address.
Primary Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Secondary Phone Maximum 20 characters Please enter a phone number.
Religious Affiliation Please enter valid data.
Place of Employment Please enter valid data.

Guardian #2 Contact Information

3 Year Old Program Enrollment (Age 3 by Sept. 1)

Traditional 3 Year Old Preschool (Tues. and Thur.)
Multi-Age Traditional Preschool (3 or 5 Days)
Multi-Age Montessori (3 or 5 Days)
*If selecting 3 days, please indicate which 3 days Monday Tuesday Wednesday Thursday Friday Undecided at this time, please contact me

4 Year Old Program Enrollment (Age 4 by Sept. 1)

Any additional comments you would like to share:

$100 Deposit Due to Complete Registration100.0

*Upon enrollment, a copy of the birth certificate and completed health form must be submitted to the Main Office.

NOUVEL