Child's Name:

 

Date Of Birth:

 

Gender (M/F):

 

Requested Class:

 

Parent's Name:

 

Phone Number:

 

Email Address:

 

Street Address:

 

City:

 

State:

 

Zip:

 

Additional Comments

or Questions:

melissa's private preschool

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

 

Pre-Kindergarten & Preschool Waiting Lists

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

 

Once your information has been received we will contact you to verify that everything is correct and notify you of your child's position on the waiting list. The order of this waiting list will be determined by the date/time your information is received.

 

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

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