Apply Child's Name* First Last Class* YellowBird (2's) BlueBird (3's) RedBird (4's) Child's Sex* Male Female Date of Birth* MM slash DD slash YYYY Nickname Daytime Phone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent 1 InformationName First Last Occupation Email Enter Email Confirm Email PhoneParent 2 InformationName First Last Occupation Email Enter Email Confirm Email Phone Number of Other Children in Family?01234Sibling 1Name* First Last Age*Please enter a number less than or equal to 50.Grade*Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thNot in K-12School Sibling 2Name* First Last Age*Please enter a number less than or equal to 50.Grade*Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thNot in K-12School Sibling 3Name* First Last Age*Please enter a number less than or equal to 50.Grade*Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thNot in K-12School Sibling 4Name* First Last Age*Please enter a number less than or equal to 50.Grade*Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thNot in K-12School Has child attended any school previously?* Yes No Name of School* Does your child have any special needs? (allergies, fears, developmental delays)* Yes No Please explain*Is your child toilet trained?* Yes No Are you or your children alumni of Overlee Preschool?* Yes No Year graduated* Alumni's name* How did you hear about Overlee?* Are you a member of the Church of the Covenant?* Yes No
