School Preschool Enrollment Form Child's Name Session ---3-4 Year Old (Tues, Thurs AM)4-5 Year Old (Mon, Wed, Fri AM Date of Birth Address , , Primary Contact Phone Number Mother's Information Father's Information Our Lady of Consolation Parishioner ---YesNo If no, Religious Affiliation Previous School Ethic Background (optional) ---African AmericanAsianHispanicNative AmericanWhite/CaucasianOther Question Father Mother Step-Father Step-Mother Name Have you been convicted of a sex crime? ---YesNo ---YesNo ---YesNo ---YesNo Are you listed on any sex offender registry? ---YesNo ---YesNo ---YesNo ---YesNo Have you been convicted of a "listed offense" as defined under Michigan Law? ---YesNo ---YesNo ---YesNo ---YesNo Requirements for entrance to preschool include a $75.00 non-refundable registration fee, a health form (including up to date immunizations) dated after May 1 of current year, signed by your physician. If these requirements are not met by the first day of preschool, your child will not be permitted to enter class. I have read the above statement and understand that my child must meet the stated requirements or be refused entrance into Our Lady of Consolation Developmental Kindergarten until requirements are met. Parent Signature Once you click the SEND button below your website page will automatically redirect to the online giving page of our website. Although you are not required to contribute to the Our Lady of Consolation Education Foundation as part of your tuition for Preschool, we do encourage all of our parishioners to give generously to the foundation to help support all catholic education programs within our parish.