Preschool Online Form for Registration - English - Eighth Street Mennonite Church

Preschool Registration Form 2024-2025

Thank you for your expressed interest in Eighth Street Preschool. Your child must be 3 or 4 by Aug. 1st to enroll at preschool. Our class options are listed below.

If you would like to reserve a place in our program for your child, please complete the form below and return it to Eighth Street Preschool, 602 South Eighth Street, Goshen, IN 46526 with a non-refundable registration fee of $30. 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

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:

Extended Day Preschool will be Mon, Wed, and Fri. from 8:30am – 1:30pm. The cost is $310/month. Our Extended Day program is designed to create a longer day for our Pre-K children. Each day they will be in a class mixed with children who may or may not be staying for the longer day from 8:30-11:30. At 11:30 Extended Day children will eat a sack lunch that you provide and then from 12:00-1:30 there will be more instructional time. During this time there is a little more structured focus on Kindergarten Readiness.

I want my child enrolled in the(Required)

3’s class 8:30am – 11:30am on Tuesday and Thursday $185/month*

4’s A.M. only 8:30am – 11:30am Mon, Wed, and Fri. $215/month*

4’s extended day 8:30am – 1:30pm Mon, Wed, and Fri. $310/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 $31.00.

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.