Lumière Student Application

Lumière

APPLICATION

PARENT 1: FIRST NAME

PARENT 1: LAST NAME

PARENT 1: EMAIL

PARENT 1: PHONE

PARENT 2: FIRST NAME

PARENT 2: LAST NAME

PARENT 2: EMAIL

PARENT 2: PHONE

CHILD 1: FIRST NAME

CHILD 1: LAST NAME

CHILD 1: DATE OF BIRTH

CHILD 1: IDEAL START DATE (include child's age at start date)

CHILD 2: FIRST NAME

CHILD 2: LAST NAME

CHILD 2: DATE OF BIRTH

CHILD 2: IDEAL START DATE (include child's age at start date)

PREVIOUS CHILDCARE EXPERIENCE: NANNY, DAYCARE, PRESCHOOL (include school's name)

HOW DID YOU HEAR ABOUT US?

DO YOU ATTEND SHORELINE CITY CHURCH? IF SO, WHAT TEAM DO YOU SERVE ON? IF NOT, WHAT CHURCH DO YOU ATTEND?

ANYTHING ELSE WE NEED TO KNOW?

UPLOAD FAMILY PHOTO

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Thank you for your interest in Petite Lumière Prep School! We have received your application and will reach out soon with next steps. We look forward to meeting your family!

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