Programs

Children & Families

Parents’ Day Out (PDO)

NEW First Pres PDO and Preschool Registration Form

First Pres PDO and Preschool Registration Form

One form per child

Last Name *

Child's Name *

Gender *

Female
Male

Birthday *

Age as of September 1, 2024

Years

Months

Child's Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Name Other Than Parent

Emergency Contact Phone Number *

Pediatrician Name

Pediatrician Phone

I am registering as a...

I would like to enroll my child in: *

I would prefer my child attends: *

Children in the program can attend a combination of Monday, Wednesday and/or Friday, or they can attend Tuesday and/or Thursday. Please indicate your day choices in order of preference:

Choice #1

Choice #2

Choice #3

Choice #4

Choice #5

I am flexible on the days my child attends:

Will you be registering more than one child for the upcoming school year?

Parent/Guardian Information

Mother's/Guardian's Name *

Mother/Guardian's Primary Contact Number *

Do you want your phone number shared with your child's classroom phone-tree?

Mother's/Guardian's Email *

Father's/Guardian's Name *

Father's/Guardian's Phone *

Do you want your phone number shared with your child's classroom phone-tree?

Father's/Guardian's Email *

Primary Contact for Tuition Billing *

Primary Email Contact for Classroom Communications *

Any information or concerns that would allow us to make the most appropriate placement for your child:

If this form is complete, please select the submit button below.

Thank you for registering your child in First Pres PDO and Preschool; nurturing and educating children since 1978.

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First Pres PDO and Preschool Registration Form

Age as of September 1, 2024

Children in the program can attend a combination of Monday, Wednesday and/or Friday, or they can attend Tuesday and/or Thursday. Please indicate your day choices in order of preference:

Parent/Guardian Information

If this form is complete, please select the submit button below.

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Our Upcoming Events

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Event Details

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Location

Organizer

First Presbyterian Church of Arlington Heights

Event Details

Event Details

Time

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Organizer

First Presbyterian Church of Arlington Heights

Event Details

Event Details

Time

Location

Organizer

First Presbyterian Church of Arlington Heights

Event Details

Event Details

Time

Location

Organizer

First Presbyterian Church of Arlington Heights

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