Pre-Enrollment Application

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Pre-Enrollment Application
This is an application to be put on the Waiting List only, it does not reserve placement for your child.
No money is required to be on the Waiting List.
Fill out the form completely.
One form is required for each child.
Children will not be enrolled unless an immunization record is presented and immunizations are up-to-date.

Fall 2021 & 2022 Registration Now Open!
Limited Space Available

* Indicates required field

Please Select A Program *

2-Day Program for 3's AM (Fall 2021) 2-Day Program for 3's AM (Fall 2022) 3-Day Program for 4's AM (Fall 2021) WAIT LIST 3-Day for 4's AM (Fall 2022) 3-Day Program for 4's PM (Fall 2021) 3-Day Program for 4's PM (Fall 2022) 5-Day Program for 4's AM (Fall 2021) WAIT LIST 5-Day Program for 4's AM (Fall 2022) Bonus Program (Fall 2021) Bonus Program (Fall 2022) Kindergarten Program (Fall 2021) Kindergarten Program (Fall 2022)

Child's Name *

First

Last

Gender *

Child's DOB *

Proposed Enrollment Date *

Parent or Guardian Name 1 *

First

Last

Parent or Guardian Name 2 *

First

Last

Mom's Cell Phone *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mom's Email *

Dad's Cell Phone *

Address if different than 1st *

Line 1

Line 2

City

State

Zip Code

Country

Dad's Email *

Occupation *

Business Name *

Occupation *

Business Name *

Home Phone *

Extended Family Information

Has any family member ever attended Redeemer by the Sea Lutheran Kindergarten & Preschool? *

With whom does the child live? *

If Yes, please put the name of the child who previously attended *

Relationship to your child *

General Information

Is your child currently attending a school/playgroup? *

If Yes, please put the name of school or playgroup *

How did you learn about Redeemer by the Sea Lutheran Kindergarten & Preschool *

In what ways do you think Redeemer by the Sea Lutheran Kindergarten & Preschool will benefit your child? *

Please use the space below to share with us any additional information about your child that you feel we should know. *

Do you have a home church? *

If yes, name of church attended: *

I understand that this application is the first step in the admissions process and does not reserve a place for my child. All forms are dated in the order by which they are received.

Submit

Come See Us!

Tours of the school are given by the Director, Ms. Malloy
on an individual basis.

If you would like to tour our facility, please complete & submit the Pre-Enrollment Application. Upon receipt, the Director will call you to schedule an appointment.
For a Fall start date please tour between October-January as registration is done between February-March.

Typical Booking Schedule
* Tours for all programs are scheduled
Monday through Friday
at
10:00am or 11:00am.

Where we are located:

6604 Black Rail Road, Carlsbad, CA 92011
T 760.431.8293
F 760.431.8511
Facility #376700601