Kids’ Depot Preschool Registration Please contact Michelle Nies at [email protected] or 587-4760 ext. 1 with any questions. Child's InformationChild's Name(Required) First Last Child's Name- As you would like used in class - If different First Last Birth Date(Required) MM slash DD slash YYYY Age (As of 9/1/22)(Required)I am registering more than one child for preschool Yes No Second Child's Name First Last Second Child's Name- As you would like used in class - If different First Last Second Child's Birth Date(Required) MM slash DD slash YYYY Second Child's Age (As of 9/1/22)(Required)Parents' InformationParent #1 Name(Required) First Last Parent #1 Phone(Required)Parent #1 Email(Required) Parent #1 Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent #2 Name First Last Parent #2 PhoneParent #2 Email Parent #2 Mailing Address (If Different) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Preschool ClassWould like to Enroll In:(Required) Mon/Wed/Fri A.M. Tue/Thu A.M. Mon/Tue/Wed/Thu/Fri P.M. Would like to Enroll 2nd Child In:(Required) Mon/Wed/Fri A.M. Tue/Thu A.M. Mon/Tue/Wed/Thu/Fri P.M. Registration Fee(Required)I understand that a $30 registration fee per child is required to hold my spot. Please drop off your registration fee to Michelle Nies at Kids' Depot, or mail it to: Kids' Depot Attn: Michelle Nies 400 Lake St SW Hutchinson, MN 55350 Yes, I understand my registration is not finalized until my registration fee is received Payment PlanWe Will:(Required) Pay in full by September 30, 2022 Opt for monthly Automatic Payments Release InformationDo we have permission to release your names, address, and phone number on a class list?Address(Required) Yes No Phone(Required) Yes No CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ
