Preschool Enrollment

Online Preschool Application Form

Please fill out all required fields. After submitting the application, you will receive an eMail acknowledging your submission. A staff member from the church will contact you regarding your child’s enrollment and the application fee.

801 Maple Grove Drive
Fredericksburg, Virginia 22407
Phone: (540) 786-8585

OFFICE HOURS:
9 AM – 2 PM Monday – Thursday, closed Friday

RETURN TO PRESCHOOL PAGE
VIEW CHILD PROTECTION POLICY

ENROLLMENT FORM

School Year*
Please Choose Child's Class
Class Selected*
Child's Full Name and Basic Information
Child's Full Name*
Child's Nickname
Child's Date of Birth*
MM
DD
YYYY
Gender*
Child Lives With*
Child's Full Home Address and Home Phone
Address*
Street Address City ZIP Code
Home Phone*
Direct Contact Information for Parents
Father's Name*
Father's Phone*
Mother's Name*
Mother's Phone*
Information on Child's Siblings, If Applicable
First Sibling's Name
First Sibling's Age
Second Sibling's Name
Second Sibling's Age
Third Sibling's Name
Third Sibling's Age
Please detail any specific allergies your child may have.*
ls the applicant currently enrolled in Peace Preschool?*
- Yes
- No
ls the applicant a sibling of a current or former enrolled student?*
- Yes
- No
Are you a member of Peace United Methodist Church?*
- Yes
- No
Is there anyone we may thank for referring you?
I am aware of the Peace UMC Preschool Policy of Enrollment and Withdrawal, and understand the Enrollment Fee is non-refundable.

As an authorizing parent, you will be asked to sign and date this form and provide the application fee after Peace United Methodist Church reviews the application form and contacts you about your child's enrollment. Thank you for applying!
Parent's Name*
First Last
Parent's eMail*
Enter Email Confirm Email
Email
This field is for validation purposes and should be left unchanged.

Preschool Enrollment

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