Summer Camp 2012!

WAITING LIST Thank you for your interest in Little Oak Preschool! If you would like to have your child's name added to our waiting list, please complete the areas below and click on the submit button. Once your completed application has been received, we will add your child's name to our waiting list. We will contact you for a tour if an opening becomes available. Please call or email our Director, Jen Potmesil, at 408-369-1252 or jen@littleoakpreschool.com if you have any questions. Thank you. Child's Name Date of Birth         M  F         Address City Zip Code Home Phone Additional Phone Numbers Email Address Mother's Name Father's Name Other children in family (& ages) Name of last school attended Special Remarks concerning child Applying to: Nursery (3-18 mth) Toddler (18-30 mth) 2 year old 3 year old Pre-K Enrollment Requested: Morning (7:30-12:30pm) Extended day (7:30am-3:30) Full day (7:30am-6:00pm) Monday Tuesday Wednesday Thursday Friday How did you learn about our school? Thank you once again for your interest in our school. We look forward to one day meeting you and your family. Office Use Only Date Received: Director's Signature

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