Enroll Online Preschool Only : St. Mark Preschool & Childcare

What is the birth date of the child you are enrolling*
I am enrolling as a*
- 3-Year Old
- 4-Year Old
- 5-Year Old
YOU ARE ENROLLING AS A 3-YEAR OLD!*
- YES - T/TH - 8:30AM-11:30AM - $155/month
YOU ARE ENROLLING AS A 4-YEAR OLD!*
- YES - M/W/F - 8:30AM-11:30AM - $210/month
YOU ARE ENROLLING AS A PRE-K 5!*
Your child must be 5 by July 31, 2025 to enroll in this class.
- YES - M/T/W/TH/F - 8:30AM-11:30AM - $290/month

Sibling 1 Name
Sibling 1 Date of Birth
MM slash DD slash YYYY
Sibling 2 Name
Sibling 2 Date of Birth
MM slash DD slash YYYY
Sibling 3 Name
Sibling 3 Date of Birth
MM slash DD slash YYYY
Sibling 4 Name
Sibling 4 Date of Birth
MM slash DD slash YYYY
Sibling 5 Name
Sibling 5 Date of Birth
MM slash DD slash YYYY
Is child right-handed or left-handed?*
- Right-handed
- Left-handed
Please list any allergies, medical concerns, or other information we need to know about your child:*
Present place of active church membership*
Name of Pastor or Priest
Has your child been baptized?*
- Yes
- No
Date of baptism
MM slash DD slash YYYY

Referral Rewards
The St. Mark Lutheran Preschool & Childcare Center Referral Rewards Program is an incentive program. Please see the Parent Handbook for a complete description of eligibility and reward details. To qualify for the referral rewards program, the application (below) must be completed and submitted with the referred student’s initial application, or within 48 hours of submitting the initial enrollment application.
Were you referred to St. Mark’s Preschool & Childcare Center by a currently enrolled family?*
- Yes
- No
The first and last names of the currently enrolled parent(s)/guardian(s)
The name of one or more of the referring family’s student(s) that are currently enrolled at St. Mark.
The primary phone number for the currently enrolled parent(s)/guardian(s)
Consent*
IMPORTANT: By checking this box, you, as the referred parent(s)/guardian(s), testify to the genuineness and honesty of the referral information provided above, and 1) that you were made aware of and referred to St. Mark Preschool and Childcare by the parties you have listed above, and 2) you have had no previous communication or interaction with St. Mark Preschool and Childcare.
Yes, I agree with this statement above.

Enrolling in Preschool Without Childcare