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We welcome you the opportunity to tour our preschool so you may begin to understand the special place it is for so many children.

The completed application, submitted with a $100 non-refundable application fee, is accepted starting on January 9th.  Enrollment will be on a first come, first serve basis for new families.  Returning families and Glen Ellyn Covenant Church members have priority.



Next Steps: Install a Payment Add-On

To accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page ( Important: Delete this tip before you publish the form.

Contact Information

Child's Name(Required)
MM slash DD slash YYYY
Mother's/Guardian's Name(Required)
Father's/Guardian's Name(Required)

Class Options

Registration begins February 1, 2024
Applying for School Year 2024 – 2025
Indicate “1” for first class choice; “2” for second choice:
_________ Nearly Threes: Monday.Wednesday a.m. 9:20-11:20
_________ Threes: Monday.Wednesday a.m. 9:15-11:40
_________ Threes: Tuesday.Thursday a.m. 9:15-11:40
_________ Nearly Fours: Monday.Wednesday.Friday a.m. 9:15-11:45
_________ Fours: Tuesday.Thursday.Friday a.m. 9:15-11:45
_________ Fours: Tuesday.Wednesday.Thursday.Friday p.m. 12:30-3:00
_________ Pre K: Tuesday.Wednesday.Thursday.Friday p.m. 12:30-3:00
Signature: __________________________ Date: __________________________
A $100.00 non-refundable registration fee is due when application is submitted
For Office Use Only:
Date Application Received ____________________________ Application Fee ____________________________
Date of Admission ____________________________ Date of Discharge ____________________________
Medical Form ____________________________ Background Information ____________________________
Permission Form ____________________________ Emergency Form ____________________________
Birth Certificate __________ Supply Fee __________ 1st Tuition __________

Upon submission, you will be redirected to a page to pay the $100 non-refundable application fee.