Admissions Form - Canyon Crest Preschool

Step 1 of 5

Child's Name*

First Middle Last

Date of Birth*

Gender*

Male

Female

Other

Child's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent 1

Name*

First Middle Last

Address*

Same as Child

Other

Child's Race/Ethnicity*

Address*

Street Address Address Line 2 City State ZIP Code

Home/Cell Phone*

Email*

Relationship to Child

Occupation

Parent 2

Name

First Last

Address

Same as Child

Other

Address

Street Address Address Line 2 City State ZIP Code

Home/Cell Phone

Relationship to Child

Occupation

Billing

Application Fee*

Price:

Billing Name*

First Last

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Email*

Billing Phone*

Credit Card

Enrollment Application

We are now accepting applications for the 2026 – 2027 school year!

Parent 1

Parent 2

Family Information

Program Preference

Billing