2018-19  2018-19 

Application Form  Application Form 

   
Child’s Name _______________________________  Child’s Name _______________________________ 
Birth Date ______________ Present Age ________  Birth Date ______________ Present Age ________ 
Parent(s) Name(s)____________________________  Parent(s) Name(s)____________________________ 
Address ___________________________________  Address ___________________________________ 
E-mail Address_______________________________  E-mail Address_______________________________ 
E-mail Address_______________________________  E-mail Address_______________________________ 
Telephone Number ___________________________  Telephone Number ___________________________ 
How did you hear about Adventures Preschool? ______  How did you hear about Adventures Preschool? ______ 
__________________________________________  __________________________________________ 
   
Class Preference: MWF TTH M-F  Class Preference: MWF TTH M-F 
   
Parent’s Signature____________________________  Parent’s Signature____________________________ 
Date______________________________________  Date______________________________________ 
Please include a non-refundable $50.00 application fee  Please include a non-refundable $50.00 application fee 
with this form. A teacher will contact you by email to  with this form. A teacher will contact you by email to 
confirm your child’s enrollment or placement on a waiting  confirm your child’s enrollment or placement on a waiting 
list.    list.   
   
Adventures Preschool welcomes all children regardless of race, gender,  Adventures Preschool welcomes all children regardless of race, gender, 
country of origin, creed or religion.  country of origin, creed or religion. 
Adventures Preschool ​.​ 2622 Lincoln Way, Ames, Iowa    Adventures Preschool ​.​ 2622 Lincoln Way, Ames, Iowa   
(515) 292-1736 .​​ adventurespreschool.org  (515) 292-1736 .​​ adventurespreschool.org 
info@adventurespreschool.org  info@adventurespreschool.org