registration form | Congregational Presc

Congregational Preschool

Child's First and Last Name

Child's Date of Birth (must meet age requirement for the class by Sept. 1)

Child's Address

First Parent's Name

First Parent's Email

Second Parent's Name

Second Parent's Email

My child is: (please mark one)

Currently enrolled at Congregational Preschool

A sibling of a child currently enrolled at CPS

A child of a First Congregational Church family

None of the Above

Class Selection (please mark you first choice only)

MWF 2s

TuTh 2s

MWF 3s

TuTh 3s

MWF 4s

M-F 4s

Thanks for submitting!

(541) 343-5730

1050 E 23rd Ave, Eugene, OR 97405

Certified 5 star rated program