Name of your child (first and last name please):  

         Boy     Girl   

        Date of birth: 

        Is your child potty trained?        Yes!        No!

Preferred schedule:      

        Tuesday & Thursday  

        Monday, Wednesday & Friday

        Monday, Tuesday, Wednesday, Thursday & Friday

Name of child # 2 (first and last name please):    

        Boy     Girl  

        Date of birth:  

        Is your child potty trained?        Yes!        No!

Preferred schedule:    

        Tuesday & Thursday  

        Monday, Wednesday & Friday

        Monday, Tuesday, Wednesday, Thursday & Friday

Mothers  name:    

Home phone number:  

Mothers daytime: business  cell number:  

Mothers home address: (please include city and zip code) 

Mothers place of employment: 

Fathers name:      

Home phone number:   Same as Mothers    Different:

Fathers daytime: business  cell number:   

(if different than the mother's)

Fathers home address: (please include city and zip code) 

Fathers place of employment: 

E-mail address:   

How did you hear about us?    Word of mouth recommendation I saw your sign at the site. Yellow Pages add The Desert Sun Heard your radio ads

Comment:  Please let us know when you would like your child to begin attending First School Indio.  We will contact you regarding availability.  Please let us know what questions you have and how we can serve you.

Once you submit this form back to us you will be returned back to this page after reviewing the information you send us.  Please download and print the six State of California forms listed below.  Fill out the forms and return them back to First School along with a non-refundable $50 reservation fee.