Pursuing Christ, Together

Sunday Mornings

9:15am: Children’s, youth, & adult programs
10:30am: Worship & children’s programs (birth-5th grade)*

*On the 1st Sunday of each month, K-5th grade kids
join the adults in the Sanctuary for Family Worship.

Preschool Registration

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Child's Info

Child lives with
Please select your class preference. All classes will operate from 9am to 12pm.

Parent/Guardian Information

Mom's Name
Dad's Name

Health Information

Does your child have any food allergies or food restrictions?
Services received in the past/present (check all that apply)
Family Doctor
Emergency Contact #1
Emergency Contact #2

Permission to Seek Medical Attention

In case of emergency, and you cannot be located, we will contact one of the above names. If they cannot be reached, we will contact your family doctor to secure medical attention.

Parental Consent

The undersigned does hereby give permission to our child to attend and participate in activities sponsored by Christ Community Preschool. We (I) authorize an adult, in whose care the minor has been entrusted, to consent to any x-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care, to be rendered to the minor under the general or special supervision and on the advice of a physician or dentist licensed under the provisions for the Medical Practice Act or the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization. Should it be necessary for our (my) child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs. The undersigned does also hereby give permission for our (my) child to ride in any vehicle designated by the adult whose care the minor has been entrusted while attending and participating in activities sponsored by Christ Community Church.
Hospital Insurance
Parental Consent

Pickup Authorization

Please list below the people who are authorized to pick up your child from preschool.
Name #1
Name #2
Name #3
Name #4
Name #5

Preschool Student Information

The following information will help your child's teacher get to know your child better. His or her teacher will use this information to help break the ice at the beginning of the year and it will be helpful when planning lessons, snacks, books, and activities for the class.

Tuition & Money Talk

A registration fee of $100.00 is due at registration and serves to confirm your child's placement in a class. This fee helps to defray costs of buckets, scrapbooks, special crafts, and other miscellaneous items for your child's class. Your child's teacher will have a short list of supplies that you can help bring the first week of preschool.


Tuition is due the first week of each month. You will not receive a bill, so your timely payment is kindly appreciated. Payment is collected at your classroom teacher's sign-in table the first school day of each month, given to one of the directors, or dropped off at the main church office.


The monthly tuition schedule is as follows, starting with the month of August and throughout the month of April. There will be no tuition payment for the month of May.


2-Day Class: $135/month or $1,215/year


3-Day Class: $205/month or $1,845/year


4-Day Class: $275/month or $2,475/year


Although the number of days in session varies from month to month, the tuition does not vary. Also, snow days that result in unscheduled school closings do not affect tuition. We make every effort to keep your costs reasonable. Salaries must be paid despite closings for bad weather.

Permission to Be Included in Class Directory

Each class will publish a class directory to be given out to each family in your child's class. These are available so you can contact other preschool families for parties, play dates, and so on. These will not be used for business purposes or shared with anyone outside of your child's class. If you prefer not to have your name included, please indicate below.
Do we have permission to include your child's name, your name, address, email, and phone number in a class directory?

Media Release

Do we have permission to use video/photography of your child for the use of Christ Community Preschool and Christ Community Church purposes such as videos/pictures to share in house or on CCC social media accounts?

I have read, understood, and consent to all parts of the Preschool Registration Form.

Clear Signature