Preschool Application Form (English) - Eighth Street Mennonite Church

2025-2026 Preschool Registration Form ENG – REGISTER ONLINE

Preschool Registration Form 2025-2026

Thank you for expressing interest in Eighth Street Preschool. Just a reminder the child you are enrolling must be 3 or 4 by Aug. 1st. Our class options are listed below. If you would like to reserve a place in our program for your child, (1) please complete this form, (2) make the non-refundable payment online or arrange to pay by check or in person, and (3) then click the Submit button.

Our spaces are filled in the order that we receive your registration and the $30 fee. We need to have BOTH in order to reserve a space for your child. If you have any questions, please call.

Sincerely,
Emma Dugger, Director
574-533-6720

Today's Date(Required)

Full Name of Child(Required)

First Middle Last

Gender(Required)

Male

Female

Name you would like your child to be called

Date of Birth(Required)

Parent(s)

Mom

Mobile/Cell Phone

Dad

Moble/Cell Phone

Child's Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone (if you have one)

Email (for preschool announcements)(Required)

Enter Email Confirm Email

Allergies(Required)

Yes

Please list the allergies your child has:

I want my child enrolled in the(Required)

3’s A.M.class: 8:30 am – 11:30 am on Tuesday and Thursday. Fee: $190/month*

4’s A.M. class: 8:00 am – Noon on Mon, Wed, and EVERY OTHER Fri. Fee: $225/month*

4’s extended day class: 8:00 am – 3:00 pm on Mon, Tues, Wed, Thurs, and EVERY OTHER Fri. Fee: $600/month*

* Prices are subject to change

The application fee is $30.00 if payment is made by cash or check. If payment is made by credit card, the application fee is $32.00.

Payment (select an option below)(Required)

I will pay by check or cash. I realize my application will not be processed until payment is received by the Preschool Office.

I will pay online by credit card

NOTE: This application will not be processed until payment is mailed to or submitted in person at the Preschool Office, 602 S. 8th St. Goshen, IN 46526 Phone: 574-533-6720

Your credit card will be charged the Preschool Application Fee:

Price:

Name of person making the payment – your name(Required)

First Last

Your email address(Required)

Billiing address of the credit card holder(Required)

Street Address City State ZIP Code

Credit Card(Required)

Cardholder Name

Card Details

This field is for validation purposes and should be left unchanged.