Child's Name:   Date Of Birth:   Gender (M/F):   Requested Class:   Parent's Name(s):   Phone Number:   Email Address:   Street Address:   City:   State:   Zip:   Name(s) and age(s) of your child's siblings:   How did you find out about us?   Additional Comments or Questions:

melissa's private preschool

525 West Hemlock Avenue · Hermiston, OR  97838 · 541-667-8278

 

Pre-Registering Your Child Online

Please submit your child's name, date of birth, gender, the class you are requesting and your contact information using the form to the left.

 

Once you have registered we will contact you to verify that the information you have submitted is correct and that there is a space available for your child in the requested class.  If a space is available, it will be reserved temporarily for your child and you will receive an appointment to complete the registration process. If a space is unavailable you will be contacted and your name placed on our waiting list.

 

You will need to download a current version of our Enrollment Packet (or we can mail one to you) and submit a signed copy of it with your child's birth certificate, immunization record and the $50.00 registration fee. These items can be brought to your registration appointment or submitted at an earlier time.  The registration process will not be considered complete until all items have been received.

 

If you have any other questions or would like to schedule a tour of our facilities, please contact us.

 

 

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