Enrollment Form

702 NE Norton Ave. Bend OR 541-389-5475 e-mail:
office@circleoffriendsbend.com

Childs Name (required)
Birth Date (required)
Birth Place (required)

Morning Program Selection


Blue Bell NurseryMorning Glory PreschoolRed Rose Pre-k/KindergartenAftercare


Full TimePart Time


MTWTF
3, 4 or 5 day options (M or F required for 3 day slot)

Before and Aftercare Needs:



(days/times if known)

Information About The Family







_________________________________________

Emergency Contact Persons (In case the parents cannot be reached)



_________________________________________

Other Information

List people, other than parents, to whom your child may be released on a
regular basis:

_________________________________________

Medical Information


I Agree that Circle Of Friends Preschool can use this submitted information to enroll my child.


To Register: Please fill out this form completely and submit with yearly

Registration Fee of $ 100.00 (make checks to Circle of Friends)

Questions? Just call the school at 541 389-5475 Thanks!

Circle of Friends admits students of any race, creed, physical handicap,
national or ethnic origin.