Application For Preschool Admission Form
Application For Preschool Admission Form
Application For Preschool Admission Form
Child’s Name:
This form can either be filled out electronically (with Adobe Reader or Adobe Acrobat) or
you can print this form to fill out. If you are submitting this form electronically please save a copy to your computer and
then email to admissions@gigharboracademy.org. If you are mailing, please mail to:
Gig Harbor Academy
Attn: Admissions
6820 32nd St. NW
Gig Harbor, WA 98335
A non-refundable registration fee of $50.00 must be included with this registration form.
This fee will hold your child’s place in the class until a contract is received. (Please note: if contract is not received by
due date you will forfeit both your space in the class and your $50.00 registration fee).
Please mail registration fee to above address.
Gig Harbor Academy does not discriminate in matters of employment, recruitment, admission, or the administration of any of its
programs on the basis of race, creed, color, gender, nationality, or ethnic origin.
Preschool Registration
Parent Information
Preferred Title: Mr. Mrs. Ms. Dr. Preferred Title: Mr. Mrs. Ms. Dr.
Full Name Full Name
Occupation Occupation
Employer Employer
E-mail E-mail
If parents are separated or divorced, with whom does the child reside? ____________________________
Check if appropriate:
Parents Parents Parents Father Mother Father Mother
Married Divorced Separated Remarried Remarried Deceased Deceased
Sibling Information
Please provide the following information on all applicants’ siblings:
School History
School Address
City State Zip Code
2. Is your child completely potty trained and independent in the bathroom? Yes No