If you are human, leave this field blank.Parent/Guardian InformationNameHome PhoneWork PhoneCell Phone Parent/Guardian InformationNameHome PhoneWork PhoneCell Phone Family's InformationPrimary Email Address *Where you would like to receive communication from SJPAddress *CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityZip codeHousing developmentFor carpooling purposes Child's InformationIndicate below which class is your first choice. *M.T. 2 1/2’s (must be 2 1/2) W.Th. 2 1/2’s (must be 2 1/2) M.T.W.Th. 2 1/2’s (must be 2 1/2)M.T. 3 & 4’s (3 by Oct.1 & potty trained)W.Th.F. 3 & 4’s (3 by Oct.1 & potty trained)M.T.W.Th.F. 3 & 4’s (3 by Oct.1 & potty trained)M.T.W.Th Transitional Kindergarten (5 by December 1, 2021 & potty trained)Child's Name *Nickname you want on the name tagNickname/shortened nameMy child identifies his/her gender as: *Birthdate *Age *As of October 1, 2021Allergies and/or concernsAre you registering a second child? *YesNo Child's InformationIndicate below which class is your first choice. *M.T. 2 1/2’s (must be 2 1/2) W.Th. 2 1/2’s (must be 2 1/2) M.T.W.Th. 2 1/2’s (must be 2 1/2)M.T. 3 & 4’s (3 by Oct.1 & potty trained)W.Th.F. 3 & 4’s (3 by Oct.1 & potty trained)M.T.W.Th.F. 3 & 4’s (3 by Oct.1 & potty trained)M.T.W.Th Transitional Kindergarten (5 by December 1, 2021 & potty trained)Child's Name *Nickname you want on the name tagNickname/shortened nameMy child identifies his/her gender as: *Birthdate *Age *As of October 1, 2021Allergies and/or concerns Tuition PolicyI understand that this registration fee of $100 per child or $150 per family is non-refundable. I have received the registration/tuition payment schedule and understand that I need to pay September 2021 tuition, in full, by May 1, 2021. If I do not make this payment, by this date, I understand that I forfeit my registration fee and will be taken off the school enrollment list. I also understand that September 2021 tuition is non-refundable. I must provide ALL enrollment forms prior to my child attending school. In September, I agree to pay May 2022 tuition and School Supply Fees. I also understand that May 2022 tuition is refundable up to March 1, 2022 only with a one month notice!I understand that this registration fee of $100 per child or $150 per family is non-refundable. *I understandI have received the registration/tuition payment schedule and understand that I need to pay September 2022 tuition, in full, by May 1, 2022. *I understandYou will also receive a copy of the registration/tuition payment schedule in your email after submitting this registration form.If I do not make this payment by this date, I understand that I forfeit my registration fee and will be taken off the school enrollment list. *I understandI understand that September 2022 tuition is non-refundable. *I understandI understand I must provide ALL enrollment forms prior to my child attending school. *I understandIn September, I agree to pay May 2023 tuition and School Supply Fees. I also understand that May 2023 tuition is refundable up to March 1, 2023 only with a one month notice! *I understandHow did you hear about St. James Preschool and/or who referred you? *Any additional comments?Signature *Reset SignatureSignature is required. Submit Registration