Preschool Forms and Handouts | BrandyMarie'sGym

Preschool Registration Form

Ready for Preschool

All About Me

Contact Text Form

Media Consent Form

Child Pick Up Form

Covid Waiver

Participant Waiver

Preschool Registration

2025/2026

$50 Dollar Non-refundable Deposit

Child's Name

Birthday

Month

Day

Year

Age

Sex

Female

Male

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Mother/Guardian

Please include address/phone if different from the child

Father/Guardian

Please include address/phone if different from the child

Emergency Contact Information:

Name

Day Time Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Relationship to the Child

Name

Day Time Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Relationship to the Child

Health Information:

Physicians Name

Address

Phone

Dentist Name

Address

Phone

Preferred Hospital

Health Insurance Provider

Group Number

Member ID

Phone

Allergies/Medical Condition

Does your child have any special needs that we need to be aware of?

Is there any other information about your child or your family which you believe will be helpful to us in understanding your child?

Tuition:

Open Gym immediately follows Preschool from 11:30am-12:30pm. There is an additional $5.00 fee daily for open gym. This is in addition to tuition.

Tuition is due by the 10th of each month. There will be a $15 Late Fee added to any payment made after this date.

Parents have the option of having the payments deducted automatically, from their bank account or credit card, each month.

I will pay my tuition in nine (9) monthly payments. This payment is due regardless of attendance. (ie. Missed class for illness, vacation, etc.)

3 Day ½ day M-W-F (9:30am-11:30am) $155.00 monthly

Mother's Signature

Signature field is empty.

Date

Month

Day

Year

Father's Signature

Signature field is empty.

Date

Month

Day

Year