ChildCare Application | Faith Lutheran<br>Columbus Indiana<br>47201

Church
PreSchool
Extended Care

Church
PreSchool
ChildCare Application

We are eager to hear from you.
We have limited spaces available. We will let you know if your class is available.

Boy Girl

Use Aug 1 for Fall 2016

Preschool Class or School PreSchool Half Days (9a-noon) PreSchool Full Days (9a-3p) PreKindergarten Half Days (9a-noon) PreKindergarten Full Days (9a-3p) Afterschool: Southside Elementary Afterschool: Other Elementary Snow/Break Care: ABC Stewart Elementary

Days Attending Faith Mondays Tuesdays Wednesdays Thursdays Fridays

Additional Care Needed Before School (starts 7a) Afterschool (3p-6p) 2 Hour Delays Snow Days School Breaks

If you have additional children, you will be able to enter them after you submit this page.

Due to high demand for a limited number of slots in our program, this form is an application. If your children are enrolled, you will need to make a non-refundable, registration payment to finalize your enrollment.