Little PALs Preschool Registration

Little PALs Payment & Registration

Upon completing this form, you will be directed to PayPal to complete your payment & online registration.
Items with an asterisk (*) are required.

NOTICE: Only those online registrations that complete the PayPal payment process will be honored.

One Online Registration Is Required Per Child

***First, fill out the information letting us know the name and phone numbers who we should contact in case of emergency.

This information is also helpful for tracking payments and registrations electronically.

Parent Name (*)

Invalid Input

Address 1: (*)

Invalid Input

Address 2:

Invalid Input

E-mail (*)

Invalid email address.

Home Phone: (*)

Invalid Input

Alternate Phone:

Invalid Input

Information about the child attending Little PALs

Child's Name 1 (*)

Please type child's full name.

School Name: (*)

You must enter a school name

Gender (*)

MaleFemale

Invalid Input

Age (*)

Invalid Input

Age Program: (*)

Invalid Input

Select the age appropriate program you are paying and registering for from the list box below.
Please note: You can select more than one type of payment by holding down the "Ctrl" key and clicking your items.

Prior to submitting this form, you will see a Total amount of your registration/payments.

$50 Registration Fee:

Invalid Input

3 And Under:

Invalid Input

Kindergarten:

Invalid Input

Pre-K:

Invalid Input

Your Invoice Total:

0 USD

Anti-Spam

Invalid Input

	Little PALs Payment & Registration Upon completing this form, you will be directed to PayPal to complete your payment & online registration. Items with an asterisk () are required.* NOTICE: Only those online registrations that complete the PayPal payment process will be honored. One Online Registration Is Required Per Child
	**First, fill out the information letting us know the name and phone numbers who we should contact in case of emergency. This information is also helpful for tracking payments and registrations electronically.*
Parent Name (*)	Invalid Input
Address 1: (*)	Invalid Input
Address 2:	Invalid Input
E-mail (*)	Invalid email address.
Home Phone: (*)	Invalid Input
Alternate Phone:	Invalid Input
	Information about the child attending Little PALs
Child's Name 1 (*)	Please type child's full name.
School Name: (*)	You must enter a school name
Gender (*)	MaleFemale Invalid Input
Age (*)	Invalid Input
Age Program: (*)	Invalid Input
	Select the age appropriate program you are paying and registering for from the list box below. Please note: You can select more than one type of payment by holding down the "Ctrl" key and clicking your items. Prior to submitting this form, you will see a Total amount of your registration/payments.
$50 Registration Fee:	Invalid Input
3 And Under:	Invalid Input
Kindergarten:	Invalid Input
Pre-K:	Invalid Input
Your Invoice Total:	0 USD
Anti-Spam	Invalid Input

Little PALs Registration Form

Little PALs Payment & Registration