Northfield Presbyterian Church Day Care Center

Registration Sign Up

Use this sign up form to register your student. After the form is complete, submit the form. You will receive an acknowledgement of your enrollment submission. Enrollment is not complete until payment is received by the school.

Child's Name
Birth Date
Street Address
Phone
City
State
Zip Code
Father's Name
Mother's Name
Mother's Cell Phone
Father's Cell Phone
Father's Employer
Mother's Employer
Father's Work Phone
Mother's Work Phone
Roster Information	Roster Information Yes - Display on Roster No - Do not display on Roster
Class Choice
Contact Email
Email Match
Verification	9 × 1 = ?

Please download, print and fill out the form using this link: Download Registration pdf
Enrollment is not complete until payment is received by the school.