West Side Preschool - Where learning is fun...
Application - West Side Preschool - Enrollment Form
 Please fill out application form, include a  $75.00 non-refundable registration fee with this form,bring the completed enrollment form to West Side Preschool or mail to
                                                 West Side Preschool
                                                     429 High Street
                                                 Medford, Ma 02155
                                                  781 -  874 -  2169
 
Today's Date _________________Date of Tour__________________
 
New Student _________________Current Student_______________
 
 
Child's Name ___________________________________Sex______
 
 
Address________________________________________________
 
 
Home Phone____________________Cell Phone________________
 
 
Birthdate_______________________________________________
 
 
Parent/Gaurdian_________________________________________
 
 
Occupation_______________________Work Phone_____________
 
 
Parent/Guardian_________________________________________
 
 
Occupation_______________________Work  Phone_____________
 
 
Email __________________________________________________
 
Preferred Program
2 Day     8:00 - 1:00____8:00 - 2:00____ 8:00 - 3:00____
3 Day     8:00 - 1:00____8:00 - 2:00____ 8:00 - 3:00____
5 Day     8:00 - 1:00____8:00 - 2:00____ 8:00 - 3:00____
 
At West Side Preschool we will make every effort to accommodate and meet the needs of every family. To arrange for a particular schedule of day's or time's not listed above,please call 781-874-2169.
 
~Inquire About Our Summer Sessions~
 
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