Princeton International Preschool
On-Line Application
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This form will serve as a reservation for your child at the Princeton International Preschool when your non-refundable one month registration fee is received.
Child's Information
Applying for School Year
2008-2009
2009-2010
2010-2011
Date of Birth (nn/nn/nnnn)
First Name
Last Name
Immunizations (If Known)
MMR 1
MMR 2
IPV
DTaP
Hepatitis Series
Parents' Information
Mother's Name (or Guardian)
Father's Name (or Guardian)
Street Address
Apartment Number
City
Bordentown
Cranbury
Ewing
Hamilton
Hightstown
Hopewell
Kingston
Lawrenceville
Mercerville
Monmouth Jnct.
Pennington
Plainsboro
Princeton
Trenton
Washington Crossing
West Windsor
White Horse
State
NJ
PA
NY
Zip Code
Home Phone
Cell Phone
Mother's Employment
Work Phone
Father's Employment
Work Phone
Recommended By
Contact Number
Are you interested in serving as a classroom assistant? .
Yes, I would like to be an classroom assistant.
No, I would not like to be an classroom assistant.
Scheduling
Student's Starting Date
Number of Days per Week For Enrollment
1
2
3
4
5
Please View Fee Schedule
Normal Expected Drop-Off Time
7:
8:
9:
10:
11:
12:
1:
2:
00
15
30
45
AM
Normal Expected Pick-Up Time
1:
2:
3:
4:
5:
6:
00
15
30
45
PM
Agreement
I understand that the registration fee and one-month tuition is non-refundable and can be applied to the tuition for the last month upon receipt of written notice one month in advance.
I accept these terms.
I do not accept these terms.