Apply Child's Name* First Last Class*YellowBird (2's)BlueBird (3's)RedBird (4's)Child's Sex*MaleFemaleDate of Birth* Date Format: 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 OccupationEmail Enter Email Confirm Email PhoneParent 2 InformationName First Last OccupationEmail 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-12SchoolSibling 2Name* First Last Age*Please enter a number less than or equal to 50.Grade*Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thNot in K-12SchoolSibling 3Name* First Last Age*Please enter a number less than or equal to 50.Grade*Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thNot in K-12SchoolSibling 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?*YesNoName of School*Does your child have any special needs? (allergies, fears, developmental delays)*YesNoPlease explain*Is your child toilet trained?*YesNoAre you or your children alumni of Overlee Preschool?*YesNoYear graduated*Alumni's name*How did you hear about Overlee?*Are you a member of the Church of the Covenant?*YesNo
