Registration

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Mother or Father REQUIRED Mother Father Please fill out this field.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Carrier (Verizon, AT&T, etc.) REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Child's Full Name REQUIRED Please fill out this field. Please enter valid data.

Child's Birth Date REQUIRED Please fill out this field. Please enter valid data.

Request for the enrollment Whenever space is available Next School Year (August 2025)

Had your child attended other preschool/daycare or home care? REQUIRED Preschool/Daycare Home care First time attend preschool Please fill out this field.

Does your child have any allergies or special needs? REQUIRED Yes No Please fill out this field.

If yes, please describe: REQUIRED Please fill out this field.

Have you had any child enrolled in our preschool? REQUIRED Yes No Please fill out this field.

If yes, child's name: REQUIRED Please fill out this field. Please enter valid data.

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Mary Immaculate Preschool

Houston, TX 281-445-9574

Registration