Preschool Registration 2022/2023

2022/2023 Registration Form (click here)

2022-2023 Please print clearly!
Wesley United Methodist Church
209 S. State Street, Dover, De 19901 – 678-8987
Wesley Preschool Registration Form
Please fill in all information

Child’s Name_______________________________________M_________F______________________

Birth Date___________________ Age____________ Home Phone______________________________


Mother’s Name______________________________ Mother’s Email _____________________________

Mother’s work phone __________________________Cell Phone_______________________________

Cell phone carrier ________________ (For Text alerts )

Father’s Name______________________________ Father’s Email _____________________________

Father’s work phone ________________________Cell Phone_______________________________

Cell phone carrier ________________ (For Text alerts )

Class Preference
(Please indicate 1st and 2nd choice in the box and circle choice for days – choices will be considered but cannot be guaranteed)

(Turn 3 by August 31)

HEDGEHOGS     (9:15 – 11:45)    2 Days Thurs/Fri

HEDGEHOGS    (9:15 – 11:45)    3 Days Mon/Tues/Wed

STARFISH           (9:15 – 11:45)     5 Days Mon/Tues/Wed/Thurs/Fri

(Turn 4 by August 31)

KOALAS         (9:00 – 12:00)     3 Days Mon/Tues/Wed

DOLPHINS   (9:00 – 12:00)     4 Days Mon/Tues/Wed/Thurs

PANDAS        (9:00 – 12:00)     5 Days Mon/Tues/Wed/Thurs/Fri

Additional Play Care Hours Needed: YES______ NO ________
Play Care Start Date: ___________________________
Please list and be specific with days and times needed for Play Care:
Days Needed: ____________________________________Times:___________________
______My child is a napper _______My child is a non-napper
Please remember to notify the Preschool Office immediately if your original Play Care times change.
Reminder: Wesley Preschool uses the public school cutoff date of August 31st for each age group.
Children are placed according to number of days-room and staff available so a preference cannot be guaranteed.
Non-refundable registration fee is $80.00. First tuition payments are due in July, 2022
For Office Use….
Initials _________